Stanton A N
Lancet. 1984 Nov 24;2(8413):1199-201. doi: 10.1016/s0140-6736(84)92753-3.
Four risk factors for overheating were sought in the histories of 34 cot-death victims in Oxford and Scarborough. 19 babies were unusually hot or sweating when found dead; 14 died in an unusually warm environment; 17 had evidence of a terminal infective illness; and 24 were excessively clothed or overwrapped. 3 babies had all four risk factors, 8 had three, 17 had two, and 4 had one risk factor. Only 2 had no risk factor; both had had very low birthweights. In 6 of 15 babies (40%) whose rectal temperature was recorded after death the temperature was above 37 degrees C, the highest being 42 degrees C. If parents could be educated to anticipate the dangerous situations preceding febrile apnoea, many cot deaths could probably be avoided.
在牛津和斯卡伯勒的34名婴儿猝死受害者的病史中，研究了导致过热的四个风险因素。19名婴儿在被发现死亡时体温异常高或正在出汗；14名死于异常温暖的环境；17名有终末期感染性疾病的证据；24名穿衣过多或包裹过度。3名婴儿具备所有四个风险因素，8名有三个，17名有两个，4名有一个风险因素。只有2名没有风险因素；这两名婴儿出生体重都非常低。在15名死亡后记录了直肠温度的婴儿中，有6名（40%）体温高于37摄氏度，最高达到42摄氏度。如果能教育父母预见到高热性呼吸暂停之前的危险情况，许多婴儿猝死可能可以避免。
