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[儿童猝死综合征。关于其可能预防的当前建议]

[Sudden death syndrome in childhood. Current recommendations for its possible prevention].

作者信息

Rodríguez R S

机构信息

Departamento de Medicina Interna, Hospital Infantil de México Federico Gómez, D.F.

出版信息

Bol Med Hosp Infant Mex. 1993 Apr;50(4):276-83.

PMID:8471175
Abstract

The sudden infant death syndrome (SIDS) has a prevalence of 0.31 to 3.5 per 1000 live newborns. It has its peak between two and four months with a greater incidence in the winter season. This syndrome should be diagnosed only after a careful post-mortem examination and a review of the death scene. The babies with SIDS have physiologic differences in their autonomic nervous system when compared with control groups. These babies have a history of excessive room heating and infant bedding. In addition the position most commonly used to put these infants to bed is the prone position. Changes in the way these infants are put to bed, changing from prone to supine position, have led to a significative reduction in SIDS. In order to decrease accidental death by asphyxia, pillows filled with polysterene beads should be avoided.

摘要

婴儿猝死综合征(SIDS)的患病率为每1000例活产新生儿中有0.31至3.5例。发病高峰在出生后两到四个月,冬季发病率更高。该综合征只有在仔细的尸检和死亡现场复查后才能确诊。与对照组相比,患有婴儿猝死综合征的婴儿自主神经系统存在生理差异。这些婴儿有室内过度取暖和使用婴儿床上用品的病史。此外,将这些婴儿放置在床上最常用的姿势是俯卧位。改变这些婴儿的睡眠姿势,从俯卧位改为仰卧位,已导致婴儿猝死综合征显著减少。为了减少窒息导致的意外死亡,应避免使用填充聚苯乙烯珠子的枕头。

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