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婴儿期一段时问内如果熟睡时出现呼吸暂停、软弱、苍白或紫绀,复苏后仍有可能发生婴儿猝死综合征(SIDS)。为了研究这类婴儿的转归,作者收集51例患儿的呼吸描记图,分析是否有预测作用。此51例婴儿均在睡眠时呼吸暂停,强力的刺激无效,经口对口呼吸复苏成功,均入院检查,但未发现引起呼吸暂停的原因。出院后在家进行心肺监测,专人护理,并收集首次呼吸描记图作分析。按随访结果分成三组:第1组7例患儿最后夭折;第2组13例有再次呼吸暂停发作,经有力刺激复苏成功;第3组31例情况尚可,以后未见明显的发作。此3组患儿出生时体重,首次呼吸暂停发作时的年龄以及复苏后开始进行监测呼吸描记图的时间均无明显差别。7例死亡后,经病史(n=4)或尸检(n=3)分析,未发现致死原因(其中4例复苏不及时,送院又过晚)。经计算机程序分析呼吸暂停(≥6sec)、周期性
Sudden Infant Death Syndrome (SIDS) may occur after recovery if there is apnea, weakness, paleness or cyanosis when sleeping during infancy. In order to study the outcomes of these infants, the authors collected a breath chart of 51 children and analyzed whether there was any predictive effect. The 51 infants were apnea during sleep, strong stimulation ineffective, oral resuscitation success, were hospitalized, but did not find the cause of apnea. After discharge from home, cardiopulmonary monitoring, hand care, and collection of the first breath chart for analysis. According to the results of follow-up were divided into three groups: Group 1, 7 cases of children died of the last; group 2, 13 cases of re-apnea episodes, successful stimulation by a strong stimulus; the third group of 31 cases were acceptable, no significant after the attack. There were no significant differences in body weight at birth, age at first episode of apnea, and time taken to begin monitoring for pneumographs after resuscitation. After 7 deaths, no cause of death was found by medical history (n = 4) or autopsy (n = 3) (4 of them were not resuscitated in time and were hospitalized too late). Apnea (> 6sec) was analyzed by computer program and was periodic