Vege A, Chen Y, Opdal S H, Saugstad O D, Rognum T O
Institute of Forensic Medicine, Oslo, Norway.
Acta Paediatr. 1994 Jun;83(6):634-9. doi: 10.1111/j.1651-2227.1994.tb13096.x.
Hypoxanthine concentrations in vitreous humor were determined in 107 cases of sudden infant death syndrome (SIDS) and compared with levels in 4 cases of borderline SIDS, 26 cases of infectious death and 16 cases of sudden violent death. The hypoxanthine measurements were made using a high-performance liquid chromatography method. The hypoxanthine levels were significantly (p < 0.01) higher in SIDS than in violent deaths, while no significant difference was found between SIDS and infectious deaths. The present report demonstrates a similar distribution pattern of hypoxanthine levels in vitreous humor in SIDS and infectious death. We have previously described signs of immune stimulation both in peripheral organs and in the central nervous system in these conditions. This indicates that the death mechanism in SIDS has some similarities with infectious death.
对107例婴儿猝死综合征(SIDS)病例的玻璃体液中的次黄嘌呤浓度进行了测定,并与4例临界SIDS、26例感染性死亡病例和16例突然暴力死亡病例的水平进行了比较。次黄嘌呤的测量采用高效液相色谱法。SIDS病例中的次黄嘌呤水平显著高于暴力死亡病例(p<0.01),而SIDS与感染性死亡病例之间未发现显著差异。本报告显示,SIDS和感染性死亡病例的玻璃体液中次黄嘌呤水平的分布模式相似。我们之前曾描述过在这些情况下外周器官和中枢神经系统中免疫刺激的迹象。这表明SIDS的死亡机制与感染性死亡有一些相似之处。