Lazoritz S, Baldwin S, Kini N
Department of Pediatrics, Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee 53201, USA.
Child Abuse Negl. 1997 Oct;21(10):1009-14. doi: 10.1016/s0145-2134(97)00061-6.
The aim of this study is to examine the data used by John Caffey in his description of the Whiplash Shaken Infant Syndrome and compare it with recent data in an attempt to determine whether the syndrome that he described has changed, or if we have changed his syndrome into what we now call The Shaken Infant Syndrome.
This study examined recent literature describing the Shaken Infant Syndrome, and compared it to Caffey's descriptions. In addition, a retrospective review of 71 children under the age of 3 years identified as having a subdural hematoma caused by other than accidental means during 54 months was done. This data was compared to data from the 27 case examples offered by Caffey in 1972 and his other descriptions in 1974 and 1946.
A review of recent literature shows that our definition of Shaken Infant Syndrome today includes cases where impact trauma was involved. In contrast to Caffey's descriptions, we found the perpetrator to be more often male, fractures to be more often to ribs rather than long bones, and admissions of shaking and other trauma more often made.
Our findings demonstrate that not only have we changed the diagnostic parameters from Caffey's original Whiplash Shaken Infant Syndrome, but the syndrome has also changed to reflect changes in medical diagnosis and in our society.
本研究旨在审视约翰·卡菲在描述鞭打摇晃婴儿综合征时所使用的数据，并将其与近期数据进行比较，以确定他所描述的综合征是否发生了变化，或者我们是否已将他的综合征转变为我们现在所称的摇晃婴儿综合征。
本研究审视了近期描述摇晃婴儿综合征的文献，并将其与卡菲的描述进行比较。此外，对71名3岁以下儿童进行了回顾性研究，这些儿童在54个月内被确定因非意外原因导致硬膜下血肿。将这些数据与卡菲在1972年提供的27个病例示例以及他在1974年和1946年的其他描述中的数据进行比较。
对近期文献的回顾表明，我们如今对摇晃婴儿综合征的定义包括涉及撞击创伤的病例。与卡菲的描述相比，我们发现犯罪者更常为男性，骨折更常发生在肋骨而非长骨，并且更常承认有摇晃及其他创伤行为。
我们的研究结果表明，我们不仅改变了卡菲最初的鞭打摇晃婴儿综合征的诊断参数，而且该综合征也已发生变化，以反映医学诊断和我们社会中的变化。
