Huser C J, Smialek J E
Am J Forensic Med Pathol. 1986 Dec;7(4):278-82. doi: 10.1097/00000433-198612000-00002.
When infants die suddenly of acute dehydration, clinical signs and autopsy findings may be equivocal or absent, and microbiologic cultures often are not helpful. Vitreous humor electrolyte and urea nitrogen concentrations were measured in 53 infants dying of gastrointestinal infections, sudden infant death syndrome (SIDS), other infectious diseases, and miscellaneous causes to determine whether these parameters would assist in the recognition and confirmation of deaths resulting from dehydration. Significant differences were found when comparing the mean sodium and urea nitrogen levels of infants dying of gastrointestinal infections with those succumbing to SIDS or other causes. We recommend that these determinations be routinely performed whenever the gross autopsy findings are insufficient to explain the death.
当婴儿因急性脱水突然死亡时，临床体征和尸检结果可能不明确或不存在，微生物培养往往也无济于事。对53例死于胃肠道感染、婴儿猝死综合征（SIDS）、其他传染病及各种原因的婴儿进行了玻璃体液电解质和尿素氮浓度测定，以确定这些参数是否有助于识别和确认脱水导致的死亡。将死于胃肠道感染的婴儿的平均钠和尿素氮水平与死于SIDS或其他原因的婴儿进行比较时，发现了显著差异。我们建议，每当大体尸检结果不足以解释死亡原因时，应常规进行这些测定。
