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呼吸暂停发作、猝死与呼吸暂停监测仪的作用

Apnea spells, sudden death, and the role of the apnea monitor.

作者信息

Keens T G, Ward S L

机构信息

Department of Pediatrics, University of Southern California School of Medicine, Los Angeles.

出版信息

Pediatr Clin North Am. 1993 Oct;40(5):897-911. doi: 10.1016/s0031-3955(16)38615-1.

Abstract

SIDS is the most common cause of death between the ages of 1 week and 1 year. It affects 1 out of every 500 to 600 live births. The etiology of SIDS is unknown. There are no tests currently available to predict the infant who will die from SIDS prior to death. SIDS cannot be prevented. Many infants experience serious apneic spells, however, that require diagnostic evaluation and treatment. Even if the treatment of these infants does not have a large impact on the SIDS rate for the general population, thorough diagnostic evaluations and appropriate use of home apnea-bradycardia monitoring is indicated for this population and may reduce their risk of morbidity or mortality.

摘要

婴儿猝死综合征是1周龄至1岁年龄段最常见的死亡原因。每500至600例活产中就有1例受其影响。婴儿猝死综合征的病因尚不清楚。目前尚无检测方法可在婴儿死前预测其是否会死于婴儿猝死综合征。婴儿猝死综合征无法预防。然而,许多婴儿会经历严重的呼吸暂停发作,这需要进行诊断评估和治疗。即使对这些婴儿的治疗对一般人群的婴儿猝死综合征发生率影响不大,但对于这一群体,仍需进行全面的诊断评估并适当使用家庭呼吸暂停-心动过缓监测,这可能会降低他们发病或死亡的风险。

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