Herbert A, Andrews P S
J Pathol. 1979 May;128(1):39-48. doi: 10.1002/path.1711280107.
An examination of the pathological features of 12 consecutive cases of sudden death in infancy was undertaken with particular reference to the lung changes used a combined radiological and pathological study of formalin vapour-inflated lungs. Certain common features in the cases in which there are no post mortem changes to explain death (typical cot deaths) are described and compared with cases with an acceptable cause of death and with control cases. It was concluded that severe dehydration is a potentially avoidable factor underlying cot deaths and many other sudden infant deaths with no explainable causes; that petechial haemorrhages are a constant feature of cot deaths and indicate a respiratory/hypoxic mode of death; that absence of petechiae indicates some other explanation for death. It is suggested that the minor respiratory or other infections which are usually present at autopsy in cot deaths may sometimes exaggerate a preexisting state of dehydration and that the dehydration may contribute more directly to death than the infection.
对12例婴儿猝死的连续病例进行了病理学特征检查，特别参考了使用福尔马林蒸汽充气肺的放射学和病理学联合研究的肺部变化。描述了那些没有尸检变化来解释死亡的病例（典型的婴儿床死亡）中的某些共同特征，并与有可接受死因的病例和对照病例进行了比较。得出的结论是，严重脱水是婴儿床死亡以及许多其他无明显死因的婴儿猝死的一个潜在可避免因素；瘀点出血是婴儿床死亡的一个恒定特征，表明是呼吸/缺氧死亡方式；没有瘀点表明死亡有其他原因。有人提出，婴儿床死亡尸检时通常存在的轻微呼吸道或其他感染有时可能会加重先前存在的脱水状态，而且脱水可能比感染更直接导致死亡。
