Bartholomew S E, MacArthur B A, Bain A D
Department of Pathology, Royal Hospital for Sick Children, Edinburgh.
Arch Dis Child. 1987 Sep;62(9):951-6. doi: 10.1136/adc.62.9.951.
Three hundred and fifty eight infants from south east Scotland who died suddenly were classified into four groups. Categories for these groups ranged from where a definite cause of death had been recorded to where no explanation had been provided and no associated disorder was discovered (SIDS). Our results supported the view that there are few differences in the history of cases certified as SIDS and other cases reported as dying suddenly but with an explanation. Groups that most closely matched the SIDS definition employed were reported to be healthier throughout life and freer from illness in the 48 hours before death. From the findings of this study the 'true' SIDS group did not appear as an 'at risk' population. The study group as a whole was not marked by social deprivation, poor mothering, or less privileged families. The importance of intensive investigation, including postmortem examination was emphasised, as misdiagnosis may give a 'falsely' inflated picture of the incidence of the syndrome and could cause unnecessary anxiety.
来自苏格兰东南部的358名突然死亡的婴儿被分为四组。这些组别的分类范围从已记录明确死因的情况到未提供解释且未发现相关病症（即婴儿猝死综合征）的情况。我们的结果支持这样一种观点，即被认证为婴儿猝死综合征的病例与报告为突然死亡但有解释的其他病例在病史方面几乎没有差异。据报告，与所采用的婴儿猝死综合征定义最相符的组在其一生中更健康，且在死亡前48小时内患病更少。从这项研究的结果来看，“真正的”婴儿猝死综合征组并未表现为“高危”人群。整个研究组并未以社会剥夺、母亲育儿不当或家庭条件较差为特征。强调了进行深入调查（包括尸检）的重要性，因为误诊可能会使该综合征的发病率出现“虚假”的膨胀情况，并可能导致不必要的焦虑。
