Kelly D H, Shannon D C, O'Connell K
Pediatrics. 1978 Apr;61(4):511-4.
The purpose of this study was to evaluate the effectiveness of home management of life-threatening apnea in infants with near-miss sudden infant death syndrome (SIDS). A total of 84 infants were monitored with apnea monitors for an average of seven months (range 1 to 27). A group of 27 infants had episodes of apnea requiring resuscitation during home monitoring, all of whom were successfully resuscitated by their parents on at least one occasion using bag and mask resuscitation, and 17 infants required more than one resuscitation. Subsequent resuscitation was unsuccessful with four infants. Infants who experienced more than ten episodes of prolonged sleep apnea (apnea longer than 20 seconds) during home monitoring had a significantly increased risk of requiring resuscitation than other infants being studied. With the use of home monitoring of these infants and parents trained in cardiopulmonary resuscitation, the survival rate was 93.4%.
本研究的目的是评估对濒死型婴儿猝死综合征（SIDS）婴儿进行危及生命的呼吸暂停家庭管理的有效性。总共84名婴儿使用呼吸暂停监测仪进行了平均7个月的监测（范围为1至27个月）。一组27名婴儿在家庭监测期间出现了需要复苏的呼吸暂停发作，所有这些婴儿的父母至少有一次使用面罩复苏成功进行了复苏，17名婴儿需要不止一次复苏。有4名婴儿随后的复苏未成功。在家庭监测期间经历超过十次长时间睡眠呼吸暂停（呼吸暂停超过20秒）的婴儿比其他被研究的婴儿需要复苏的风险显著增加。通过对这些婴儿进行家庭监测并对父母进行心肺复苏培训，存活率为93.4%。
