Trube-Becker E
Forensic Sci. 1978 May-Jun;11(3):171-4. doi: 10.1016/s0379-0738(78)80052-8.
At post mortems performed in cases of cot death, the cause of death has been established as due to a variety of pathological changes. In connection with the anamnesis data, inflammation in the region of the respiratory system, especially of the lungs, infections of the gastrointestinal tract, otitis media and electrolyte shifts can in many cases be traced back to a common origin, if we assume a bacterioenterotoxin poisoning (which takes a different course in infants than in older children or adults). Extensive inquiries prior to the post mortem, autopsies performed always by the same method, as well as all the ensuing examinations, are indispensable in order to explain the cause of the sudden death and to make sure that the results of the post mortem are not influenced by the importance the pathologist attributes to a certain method of examination.
在婴儿猝死综合征病例的尸检中,已确定死亡原因是多种病理变化。结合病史数据,如果我们假设存在细菌性肠毒素中毒(其在婴儿中的病程与大龄儿童或成人不同),那么在许多情况下,呼吸系统尤其是肺部区域的炎症、胃肠道感染、中耳炎和电解质紊乱都可追溯到一个共同的源头。为了解释猝死原因并确保尸检结果不受病理学家对某种检查方法所赋予的重要性的影响,在尸检前进行广泛询问、始终采用相同方法进行尸检以及随后的所有检查都是必不可少的。