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婴儿意外死亡中的高钠血症和尿毒症

Hypernatraemia and uraemia in unexpected death in infancy.

作者信息

Emery J L, Swift P G, Worthy E

出版信息

Arch Dis Child. 1974 Sep;49(9):686-92. doi: 10.1136/adc.49.9.686.

Abstract

The electrolyte concentration of the vitreous humour of the eye in a consecutive series of 40 infants dying unexpectedly at home was measured. In 25 of these infants no morbid anatomical cause of death was found, but in half of these infants analysis of the vitreous humour indicated the presence of hypernatraemia, either with or without uraemia. High solute feeding and water deficiency could therefore have been a major factor in the death of these infants. Estimation of the vitreous electrolytes is an essential part of examination of children falling within the `cot death' group.

摘要

对连续40例在家中意外死亡的婴儿的眼玻璃体液电解质浓度进行了测量。在这些婴儿中,有25例未发现死因的病理解剖学原因,但其中一半婴儿的玻璃体液分析表明存在高钠血症,伴或不伴有尿毒症。因此,高溶质喂养和缺水可能是这些婴儿死亡的主要因素。玻璃体液电解质的测定是对“婴儿猝死”组儿童进行检查的重要组成部分。

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本文引用的文献

1
Studies on postmortem chemistry.
Am J Clin Pathol. 1950 Apr;20(4):314-24. doi: 10.1093/ajcp/20.4.314.
2
Postmortem chemistry of the vitreous body in man.人体玻璃体液的死后化学分析
Arch Ophthalmol. 1959 Sep;62:356-63. doi: 10.1001/archopht.1959.04220030012003.
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Hypernatremic dehydration.
Pediatr Clin North Am. 1959 Feb;6(1):193-9. doi: 10.1016/s0031-3955(16)30768-4.
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Sudden unexpected death in infancy. A new hypothesis of cause.
Clin Pediatr (Phila). 1966 Apr;5(4):243-54. doi: 10.1177/000992286600500415.
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Elevation of serum calcium concentration and changes in other blood parameters after death.
J Surg Res. 1969 Oct;9(10):567-74. doi: 10.1016/0022-4804(69)90012-2.

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