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中枢性呼吸暂停的家庭监测。

Home monitoring for central apnoea.

作者信息

MacKay M, Abreu e Silva F A, MacFadyen U M, Williams A, Simpson H

出版信息

Arch Dis Child. 1984 Feb;59(2):136-42. doi: 10.1136/adc.59.2.136.

DOI:10.1136/adc.59.2.136
PMID:6703763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1628461/
Abstract

Between July 1978 and December 1981, 64 infants thought to be at increased risk from sudden infant death syndrome (SIDS) were monitored at home for central apnoea. Twenty four of the infants had had a 'near miss' episode at age, median (range), 6 (1 to 33) weeks, and of these infants 22 had had 335 alarms for apnoea by age 6 months. Stimulation by shaking was carried out on 38 occasions and bag and mask resuscitation on one. The remaining 40 infants were siblings of SIDS victims and of these, 35 were monitored from age 1 week (usually after discharge home). Thirty four of the SIDS siblings had had 573 alarms for apnoea by age 6 months: stimulation by shaking was carried out on 32 occasions and bag and mask resuscitation on one. The duration of home monitoring was, median (range), 34 (8 to 87) weeks for 'near miss' infants and 45 (12 to 70) weeks for SIDS siblings. All infants survived. As part of an over all support system monitors were accepted and greatly appreciated by most parents, especially those with previous experience of SIDS. Home monitoring was practicable but the commitment in time and expertise was great and objective benefits to the infant remain unproved.

摘要

1978年7月至1981年12月期间,对64名被认为因婴儿猝死综合征(SIDS)而风险增加的婴儿进行了家庭中枢性呼吸暂停监测。其中24名婴儿在年龄中位数(范围)为6(1至33)周时曾有过“濒死”发作,在这些婴儿中,有22名在6个月大时因呼吸暂停发出了335次警报。进行了38次摇晃刺激,1次进行了面罩气囊复苏。其余40名婴儿是SIDS受害者的兄弟姐妹,其中35名从1周龄(通常是出院回家后)开始监测。34名SIDS受害者的兄弟姐妹在6个月大时因呼吸暂停发出了573次警报:进行了32次摇晃刺激,1次进行了面罩气囊复苏。“濒死”婴儿的家庭监测持续时间中位数(范围)为34(8至87)周,SIDS受害者兄弟姐妹的家庭监测持续时间为45(12至70)周。所有婴儿均存活。作为整体支持系统的一部分,监测仪被大多数家长接受并非常感激,尤其是那些有过SIDS经历的家长。家庭监测是可行的,但所需的时间和专业知识投入很大,对婴儿的客观益处仍未得到证实。

相似文献

1
Home monitoring for central apnoea.中枢性呼吸暂停的家庭监测。
Arch Dis Child. 1984 Feb;59(2):136-42. doi: 10.1136/adc.59.2.136.
2
Home apnea monitoring in 'near-miss' sudden infant death syndrome (SIDS) and in siblings of SIDS victims.对“近猝死”婴儿猝死综合征(SIDS)患儿及SIDS受害者兄弟姐妹进行家庭呼吸暂停监测。
Pediatrics. 1982 Jul;70(1):69-74.
3
Home monitoring for infants at risk of the sudden infant death syndrome.
Aust Paediatr J. 1984 May;20(2):137-40. doi: 10.1111/j.1440-1754.1984.tb00062.x.
4
Near-miss sudden infant death syndrome: clinical findings and management.
Pediatrics. 1987 Jun;79(6):889-93.
5
Polysomnographic studies and home monitoring of siblings of SIDS victims and of infants with no family history of sudden infant death.
Eur J Pediatr. 1986 Oct;145(5):351-6. doi: 10.1007/BF00439237.
6
Care of infants with near-miss sudden infant death syndrome.近猝死综合征婴儿的护理
Pediatrics. 1978 Apr;61(4):511-4.
7
[Home monitoring of apnea in children at increased risk for sudden infant death (SIDS)].[对婴儿猝死综合征(SIDS)高危儿童的呼吸暂停进行家庭监测]
Monatsschr Kinderheilkd. 1986 Jan;134(1):5-9.
8
'Near-miss' for sudden infant death syndrome infants: a clinical problem.
Pediatrics. 1983 May;71(5):726-30.
9
Home monitoring of infants considered at risk for the sudden infant death syndrome. Four years' experience (1977-1981).对被认为有婴儿猝死综合征风险的婴儿进行家庭监测。四年经验(1977 - 1981年)。
Eur J Pediatr. 1982 Oct;139(2):94-100. doi: 10.1007/BF00441489.
10
Cardiorespiratory events recorded on home monitors: Comparison of healthy infants with those at increased risk for SIDS.家庭监测仪记录的心肺事件:健康婴儿与患婴儿猝死综合征风险增加婴儿的比较。
JAMA. 2001 May 2;285(17):2199-207. doi: 10.1001/jama.285.17.2199.

引用本文的文献

1
Apnoea alarms.呼吸暂停警报。
Br Med J (Clin Res Ed). 1984 Dec 1;289(6457):1536-7. doi: 10.1136/bmj.289.6457.1536-c.
2
Apnoea monitors and sudden infant death. Report from the Foundation for the Study of Infant Death and the British Paediatric Respiratory Group.呼吸暂停监测仪与婴儿猝死。来自婴儿死亡研究基金会及英国儿科学会呼吸组的报告。
Arch Dis Child. 1985 Jan;60(1):76-80. doi: 10.1136/adc.60.1.76.
3
Apnoea monitors compared with weighing scales for siblings after cot death.婴儿猝死综合征后,对同胞手足使用呼吸暂停监测仪与体重秤的比较
Arch Dis Child. 1985 Nov;60(11):1055-60. doi: 10.1136/adc.60.11.1055.

本文引用的文献

1
Parents' perceptions of the psychological and social impact of home monitoring.家长对家庭监测的心理和社会影响的认知。
Pediatrics. 1980 Jul;66(1):37-41.
2
Cot deaths in Edinburgh: infant feeding and socioeconomic factors.爱丁堡的婴儿猝死:婴儿喂养及社会经济因素
J Epidemiol Community Health. 1980 Mar;34(1):35-41. doi: 10.1136/jech.34.1.35.
3
Home monitoring of infants considered at risk for the sudden infant death syndrome. Four years' experience (1977-1981).对被认为有婴儿猝死综合征风险的婴儿进行家庭监测。四年经验(1977 - 1981年)。
Eur J Pediatr. 1982 Oct;139(2):94-100. doi: 10.1007/BF00441489.
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Phenothiazines and sudden infant death syndrome.
Pediatrics. 1982 Jul;70(1):75-8.
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Home apnea monitoring in 'near-miss' sudden infant death syndrome (SIDS) and in siblings of SIDS victims.对“近猝死”婴儿猝死综合征(SIDS)患儿及SIDS受害者兄弟姐妹进行家庭呼吸暂停监测。
Pediatrics. 1982 Jul;70(1):69-74.
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Sudden unexpected infant death. II Home monitoring.婴儿猝死。II 家庭监测。
Arch Dis Child. 1983 Jun;58(6):469-71. doi: 10.1136/adc.58.6.469.
7
Sudden unexpected infant death. I Paediatric counselling.婴儿猝死。一、儿科咨询。
Arch Dis Child. 1983 Jun;58(6):467-9. doi: 10.1136/adc.58.6.467.
8
To breathe or not to breathe--what have we learned about apneic spells and sudden infant death?呼吸还是不呼吸——关于呼吸暂停发作和婴儿猝死我们了解了什么?
N Engl J Med. 1983 Jul 14;309(2):107-8. doi: 10.1056/NEJM198307143090211.
9
Epidemiology of sudden unexpected death in infants ('cot death') in Northern Ireland.北爱尔兰婴儿猝死(“摇篮死亡”)的流行病学研究。
Br J Prev Soc Med. 1971 Aug;25(3):119-34. doi: 10.1136/jech.25.3.119.
10
Sudden infant death syndrome in a hospitalized infant on an apnea monitor.一名住院婴儿在使用呼吸暂停监测仪时发生婴儿猝死综合征。
Pediatrics. 1975 Aug;56(2):296-8.