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EARLY SCREENING OF INFANTS FOR HIGHER RISK OF THE SUDDEN INFANT DEATH SYNDROME

机译:婴儿早期筛查,以提高婴儿猝死综合征的风险

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Infants at higher risk of the Sudden Infant Death Syndrome (SIDS) can be successfully detected and protected during the first year of life. From March 1977 to February 1988, 150 infants have been investigated for high risk of SIDS. There were 30 Near Miss infants, all successfully ressuscitated (Group I),35 siblings of SIDS victims (3 twins) (Group II),and 85 infants referred after an episode of pallor or cyanosis related to sleep (Group III).All were subjected to a mean of 2 night polygraphic recording of sleep stages,respiratory and heart rates as well as PtcO2.The infants from Groups I and III were also studied for a recognizable cause of the initial incident. 32 infants were considered at higher risk:every Near Miss (after exclusion of recognizable causes),one infant from Group II (abnormal polygraphic recording) ,and one from Group III(exclusion of recognizable causes and abnormal polygraphic recording). They were sent home with a cardiorespiratory monitoring.They all required stimulation by the parents for apnea or bradycardia,but there was no death.Among the 118 infants not considered at higher risk, none presented any incident.All 150 infants are well by now.Département de Pédiatrie. Hopital Universitaire Saint-Pierre. Rue Haute, 322. 1000 - Bruxelles. Belgium.
机译:在婴儿出生后的第一年中,可以成功地发现和保护处于婴儿猝死综合症(SIDS)较高风险的婴儿。从1977年3月到1988年2月,对150名SIDS高危婴儿进行了调查。共有30例Near Miss婴儿(第一组),35例SIDS受害者的兄弟姐妹(3个双胞胎)(II组)和85例因与睡眠有关的苍白或发osis而转诊的婴儿(III组)。进行了平均2晚夜间睡眠,呼吸和心率以及PtcO2的多形记录。还对I组和III组的婴儿进行了初步病因识别研究。认为有32个婴儿处于较高的风险中:每个未成年人(排除可识别的原因后),来自第二组的婴儿(异常的多形检查)和来自第三组的婴儿(排除可识别的原因和异常的多记录)。他们被送回家进行心肺监护。他们都需要父母进行呼吸暂停或心动过缓的刺激,但没有死亡。在118名未视为高危婴儿中,没有发生任何事故。目前所有150名婴儿都康复了。佩迪亚特里省。圣皮埃尔大学医院。 Rue Haute,322。1000-布鲁塞尔。比利时。

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