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疑似婴儿猝死综合征患儿的眼心反射

Oculocardiac reflex in near miss for sudden infant death syndrome infants.

作者信息

Kahn A, Riazi J, Blum D

出版信息

Pediatrics. 1983 Jan;71(1):49-52.

PMID:6848978
Abstract

To gain insight into the role of the vagus nerve in sudden infant death syndrome (SIDS), 180 infants ranging in age from 1 to 66 weeks were examined with respect to cardiac response to ocular compression. There were 35 near-miss infants, 76 normal siblings of SIDS victims, and 69 normal control infants. Asystoles within the control group ranged from 0.3 to 1.8 seconds. Ten of 35 (28%) near-miss infants and 10/76 (13%) siblings had asystoles greater than 2.0 seconds when first tested. When statistically compared, the near-miss infants were significantly different from both the control infants and the siblings (Kruskal-Wallis procedure: P less than .01, and P less than .05, respectively). It is concluded that in the first year of life a significant number of near-miss infants have an exaggerated cardiac response to ocular compression. Furthermore, the presence of prolonged asystoles in certain siblings indicates that vagal hypersensitivity, as manifested by ocular compression, may be, in part, hereditary.

摘要

为深入了解迷走神经在婴儿猝死综合征(SIDS)中的作用,对180名年龄在1至66周的婴儿进行了眼部压迫心脏反应检查。其中有35名濒死婴儿、76名SIDS受害者的正常兄弟姐妹以及69名正常对照婴儿。对照组的心脏停搏时间为0.3至1.8秒。首次测试时,35名濒死婴儿中有10名(28%)以及76名兄弟姐妹中有10名(13%)的心脏停搏时间超过2.0秒。经统计学比较,濒死婴儿与对照婴儿和兄弟姐妹均存在显著差异(Kruskal-Wallis检验:P值分别小于0.01和0.05)。研究得出结论,在生命的第一年,相当数量的濒死婴儿对眼部压迫有过度的心脏反应。此外,某些兄弟姐妹中出现的长时间心脏停搏表明,眼部压迫所表现出的迷走神经超敏反应可能部分具有遗传性。

相似文献

1
Oculocardiac reflex in near miss for sudden infant death syndrome infants.疑似婴儿猝死综合征患儿的眼心反射
Pediatrics. 1983 Jan;71(1):49-52.
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
Mixed and obstructive sleep apnea and near miss for sudden infant death syndrome: 2. Comparison of near miss and normal control infants by age.混合性和阻塞性睡眠呼吸暂停与婴儿猝死综合征的险些发生:2. 险些发生者与正常对照婴儿按年龄的比较。
Pediatrics. 1979 Dec;64(6):882-91.
4
'Near-miss' for sudden infant death syndrome infants: a clinical problem.
Pediatrics. 1983 May;71(5):726-30.
5
Effects of obstructive sleep apneas on transcutaneous oxygen pressure in control infants, siblings of sudden infant death syndrome victims, and near miss infants: comparison with the effects of central sleep apneas.阻塞性睡眠呼吸暂停对正常婴儿、婴儿猝死综合征受害者的兄弟姐妹以及濒死婴儿经皮氧分压的影响:与中枢性睡眠呼吸暂停的影响比较。
Pediatrics. 1982 Dec;70(6):852-7.
6
Periodic breathing in infants with near-miss sudden infant death syndrome.接近猝死综合征婴儿的周期性呼吸
Pediatrics. 1979 Mar;63(3):355-60.
7
Nasal occlusion during sleep in normal and near-miss for sudden death syndrome infants.
Bull Eur Physiopathol Respir. 1987 May-Jun;23(3):223-6.
8
Neurologic abnormalities in near miss for sudden infant death syndrome infants.婴儿猝死综合征高危儿的神经学异常
Pediatrics. 1979 Sep;64(3):369-74.
9
[Development of the heart rate in the first year of life and infant ill health].[生命第一年心率的发育与婴儿健康问题]
Arch Fr Pediatr. 1986 Aug-Sep;43(7):475-9.
10
Effects of central apneas on transcutaneous PO2 in control subjects, siblings of victims of sudden infant death syndrome, and near miss infants.
Pediatrics. 1982 Apr;69(4):413-8.

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An old drug for use in the prevention of sudden infant unexpected death due to vagal hypertonia.一种用于预防因迷走神经张力过高导致婴儿猝死的老药。
Eur J Pediatr. 2011 Dec;170(12):1569-75. doi: 10.1007/s00431-011-1544-0. Epub 2011 Aug 4.
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Apparent life threatening events in infants presenting to an emergency department.
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Emerg Med J. 2002 Jan;19(1):11-6. doi: 10.1136/emj.19.1.11.
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Heart rate response profiles during head upright tilt test in infants with apparent life threatening events.明显危及生命事件婴儿在头直立倾斜试验期间的心率反应曲线
Arch Dis Child. 1997 Jan;76(1):27-30. doi: 10.1136/adc.76.1.27.
5
Pharmacokinetics of diphemanil methylsulphate in infants.婴儿体内甲硫酸二苯马尼的药代动力学
Eur J Clin Pharmacol. 1993;45(1):89-91. doi: 10.1007/BF00315356.
6
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.
7
Recent advances in sudden infant death syndrome: possible autonomic dysfunction of the airways in infants at risk.婴儿猝死综合征的最新进展:高危婴儿气道可能存在的自主神经功能障碍。
Lung. 1990;168 Suppl:920-4. doi: 10.1007/BF02718228.
8
Pharmacokinetics of diphemanil methylsulphate in healthy subjects.健康受试者中甲基硫酸地非那明的药代动力学
Eur J Clin Pharmacol. 1992;42(6):689-91. doi: 10.1007/BF00265939.
9
The autonomic nervous system--a role in sudden infant death syndrome.自主神经系统——在婴儿猝死综合征中的作用。
Arch Dis Child. 1992 May;67(5):654-6. doi: 10.1136/adc.67.5.654.