Trube-Becker E
Med Klin. 1978 Jun 2;73(22):827-32.
At post-mortems held on cot-death infants, the cause of death can be established as a variety of pathological changes. Inflammationin the region of the respiratory tract, in particular in the lungs;infections of the gastrointestinal tract; otitis media; shift of electrolytes-recently also the so-called yellow fat ect., can in association with the data on the anamnesis in many cases, through the assumption of bacterio-enterotoxin poisoning, which takes a different course in infants, to that in older children or adults, be traced back to a common origin. Extensive inquiries before the post-mortem, are as much indispensable prerequisites forthe clarification of the cause of sudden death as are the actual post-mortem and the ensuing investigations which must be carried out in the same way.
在对婴儿猝死综合征患儿进行尸检时,死亡原因可确定为多种病理变化。呼吸道区域尤其是肺部的炎症;胃肠道感染;中耳炎;电解质紊乱——最近还有所谓的黄色脂肪病变等,在许多情况下,结合病史资料,通过假设细菌肠毒素中毒(这种中毒在婴儿身上的病程与大龄儿童或成人不同),可追溯到一个共同的起源。尸检前进行广泛调查,与实际尸检以及后续必须以相同方式进行的调查一样,都是查明猝死原因不可或缺的先决条件。