Morse M, Castillo P, Venecia D, Milstein J, Tyler D C
Am J Dis Child. 1986 Nov;140(11):1110-4. doi: 10.1001/archpedi.1986.02140250036031.
We nonselectively interviewed 11 patients aged 3 through 16 years who had survived critical illnesses, including cardiac arrests and profound comas. Any memory of a time they were unconscious was considered to be a near-death experience (NDE) and was recorded. Seven of these children had memories that included being out of the physical body (six patients), entering darkness (five patients), being in a tunnel (four patients), and deciding to return to the body (three patients). We also interviewed 29 age-matched survivors of illnesses that required intubation, narcotics, benzodiazepines, and admission to an intensive care unit. None of them had any memories of the time they were unconscious. In our study population, NDEs were clearly associated with surviving a critical illness. The elements of NDEs reported are similar to those previously described in adults. No children described elements of depersonalization as part of their NDEs. A core NDE, triggered by the process of dying or resuscitation efforts, may be a natural developmental experience. We present a neurophysiologic hypothesis as to the cause of NDEs.
我们对11名年龄在3至16岁之间、曾从包括心脏骤停和深度昏迷在内的危重病中存活下来的患者进行了非选择性访谈。他们对自己失去意识期间的任何记忆都被视为濒死体验(NDE)并记录下来。其中7名儿童的记忆包括出体体验(6名患者)、进入黑暗(5名患者)、身处隧道(4名患者)以及决定回到身体(3名患者)。我们还访谈了29名年龄匹配的疾病幸存者,这些疾病需要插管、使用麻醉剂、苯二氮䓬类药物并入住重症监护病房。他们中没有人对自己失去意识期间有任何记忆。在我们的研究人群中,濒死体验显然与从危重病中存活有关。所报告的濒死体验的要素与之前在成年人中描述的相似。没有儿童将人格解体的要素描述为其濒死体验的一部分。由死亡过程或复苏努力引发的核心濒死体验可能是一种自然的发育体验。我们提出了一个关于濒死体验成因的神经生理学假设。