発熱性とベビーベッド死亡

R Sunderland, J L Emery

Lancet (London, England)

|July 25, 1981

まとめ

発熱性といくつかの突然の乳児死亡は,共通の原因,おそらく熱可変性を共有する可能性があります. 発症時の年齢は,発熱刺激が発作や死亡につながるかどうかに影響する.

科学分野:

小児科は小児科です.
神経学神経学とは
公共衛生は公衆衛生である.

背景:

突然の予期せぬ乳児死亡 (SUID),しばしば"赤ちゃんの死"と称され,熱性は重要な小児の懸念です.
これらのイベントの間の潜在的なリンクを理解することは,診断と予防に不可欠です.

研究の目的:

小児における熱性とベビーベッド死亡との関係を調査する.
潜在的に共通する病因因子と,年齢に関係する表現の違いを探求する.

主な方法:

シェフィールドの2歳未満の児童の入院および死亡記録の遡及分析 (1975年−1979年).
寝床死亡の場合には,冷却前に直腸の温度を検査する.
両方の症状の出産時の年齢を比較する.

主要な成果:

40544人の子供の中で,475人の初発熱性と50人のベッド死亡が確認されました.
高い直腸温度 (38°Cと40°C以上) は,ベビーベッド死亡症例のサブセットで観察されました.
幼稚園での死亡は,主に6ヶ月未満で発生し,熱性は,この年齢以降により一般的であった.

結論:

発熱性といくつかのベビーベッド死亡は,年齢によって影響される発熱性刺激に対する同様の反応の異なる結果を表す可能性があります.
熱中症症候群は,潜在的に一般的なメカニズムとして提案されており,幼い乳児の脳性缺血につながる可能性があります.
ベビーベッド死亡の症例では,直腸内温度の即時測定が推奨されます; 陰道媒介の反射偏差も役割を果たす可能性があります.

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