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[意外及不明原因婴儿死亡。比利时及移民人群的流行病学与对比研究]

[Unexpected and unexplained infant death. Epidemiologic and comparative study of Belgian and immigrant populations].

作者信息

Kahn A

出版信息

Arch Fr Pediatr. 1979 Jul-Aug;36(7):712-23.

PMID:533353
Abstract

The medical records of 299 Belgian and immigrant children who died between 15 days and one year in the years 1970-1977 have been analysed. Fifty two died of congenital malformations, 119 of major infections and 128 died suddently for no obvious reason; neither the clinical history nor the laboratory data would account for death. In both the Belgian and immigrant population the children who died suddenly and unexpectedly did not differ from the other groups of children who died in respect of social class, mother's age at delivery, her parity and medical history, the baby's gestational age, birth weight and Apgar score, the method of feeding, the physical growth or psychomotor development. Infection is not more frequent in the week before death and there is no seasonal variation. The majority of unexpected deaths occur between 2 and 4 months of age and the child is most often discovered between 6 and 12 a.m. These characteristics are also observed in children who die of sudden infant death syndrome.

摘要

对1970年至1977年间死亡的299名比利时儿童及移民儿童的病历进行了分析,这些儿童的死亡时间在出生15天至1岁之间。其中52名死于先天性畸形,119名死于严重感染,128名突然死亡且无明显原因;临床病史和实验室数据均无法解释其死亡原因。在比利时儿童和移民儿童中,突然意外死亡的儿童在社会阶层、母亲分娩时的年龄、生育次数和病史、婴儿的胎龄、出生体重和阿氏评分、喂养方式、身体生长或精神运动发育等方面与其他死亡儿童组并无差异。死亡前一周感染情况并无更频繁,也没有季节性变化。大多数意外死亡发生在2至4个月大时,且孩子大多在凌晨6点至12点之间被发现。这些特征在死于婴儿猝死综合征的儿童中也有观察到。

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