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硬膜下新膜与婴儿猝死综合征

Subdural neomembranes and sudden infant death syndrome.

作者信息

Rogers C B, Itabashi H H, Tomiyasu U, Heuser E T

出版信息

J Forensic Sci. 1998 Mar;43(2):375-6.

PMID:9544545
Abstract

Cranial dura maters of 36 consecutive infants with sudden infant death syndrome (SIDS) and 16 control infants coming to the Department of Coroner were examined microscopically to determine if subdural neomembranes are associated with cases submitted as SIDS. Thirty-one percent (31%) of the infants with SIDS and 13% of control infants had organizing subdural neomembranes (p > 0.05). Overall prevalence of organizing subdural neomembranes was 25% in the group examined. In all but two cases, birth trauma could be excluded as a cause of head trauma by aging neomembranes histologically. No association was found between type of delivery (vaginal or Cesarean) and presence of a subdural neomembrane. Subdural neomembranes are common in infants autopsied in a forensic setting, but they may be missed without a microscopic examination. Subdural neomembranes have no demonstrated association with SIDS.

摘要

对36例连续的婴儿猝死综合征(SIDS)婴儿及16例送至验尸官部门的对照婴儿的硬脑膜进行显微镜检查,以确定硬膜下新膜是否与作为SIDS提交的病例相关。31%的SIDS婴儿和13%的对照婴儿有正在机化的硬膜下新膜(p>0.05)。在所检查的组中,正在机化的硬膜下新膜的总体患病率为25%。除两例外,通过组织学上新膜的老化可排除出生创伤作为头部创伤的原因。未发现分娩方式(阴道分娩或剖宫产)与硬膜下新膜的存在之间存在关联。硬膜下新膜在法医尸检的婴儿中很常见,但如果不进行显微镜检查可能会被漏诊。硬膜下新膜与SIDS没有已证实的关联。

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