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首页> 外文期刊>Translational Stroke Research >Sudden Unexpected Postnatal Collapse of Newborn Infants: A Review of Cases, Definitions, Risks, and Preventive Measures
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Sudden Unexpected Postnatal Collapse of Newborn Infants: A Review of Cases, Definitions, Risks, and Preventive Measures

机译：新生儿突然意外出生后崩溃：病例，定义，风险和预防措施的审查。

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摘要

This study aimed to review available published reports concerning sudden unexpected postnatal collapse (SUPC) of apparently healthy infants within the first days of postnatal life, establish a structured presentation and delineate recommendations for preventive measures. All published reports of SUPC cases were retrospectively analyzed, and three not previously published SUPC cases at Karolinska University Hospital were detailed to exemplify the varying presentations and outcomes of SUPC. We found 398 published cases of SUPC occurring during first postnatal week. Estimated incidence of the SUPC of a presumably healthy infant after birth differs widely, ranging from 2.6 cases to 133 cases/100,000. However, definition, inclusion, and exclusion criteria vary substantially between reports. Our summary indicates that reported SUPC occurs more frequently than expected from recent surveys. About half of the infants die, and of the remaining survivors, half have neurological sequela. Of the 233 cases of sudden unexpected death described, no etiology was found in 153 cases. When a defined time for the SUPC event is described, approximately one third of reported events occur during the first 2h, between 2 and 24h and between 1 and 7days after birth, respectively. Adequate education of caregivers and appropriate surveillance during the first days of newborns should enable us to save hundreds of lives.
机译：这项研究的目的是回顾可得的有关出生后头几天内看起来健康的婴儿突然意外的产后虚脱（SUPC）的已发表报告，建立结构化的表述并提出预防措施的建议。回顾性分析了所有已发表的SUPC病例报告，并详细介绍了Karolinska大学医院未出版的3例SUPC病例，以证明SUPC的不同表现和结局。我们发现在出生后的第一周发生了398例SUPC的公开病例。大概健康的婴儿出生后SUPC的估计发生率差异很大，范围从2.6例到133例/ 100,000。但是，报告之间的定义，包含和排除标准有很大差异。我们的摘要表明，所报告的SUPC发生的频率比最近调查中的预期高。大约一半的婴儿死亡，其余幸存者中，一半患有神经系统后遗症。在描述的233例意外猝死病例中，有153例未发现病因。当描述SUPC事件的定义时间时，大约三分之一的报告事件分别在出生后的前2h，2和24h之间以及1和7天之间发生。在新生儿出生的第一天，对照顾者进行充分的教育并进行适当的监视，应该可以使我们挽救数百人的生命。

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