临床床旁工具 · 供执业医师参考 · 急诊
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BRUE 短暂已缓解未解释事件
用途何时用：既往称 ALTE 的短暂已缓解未解释事件。
加载计算器…
分层低危可考虑有限急诊评估；高危需更广检查/住院。
局限已有解释或仍有症状勿标 BRUE。 · 陷阱：婴儿仍异常时称 BRUE。 · 高危考虑虐待、心律失常、感染。
出处Tieder JS et al. Pediatrics 2016 (AAP BRUE)
⚠️ 本地计算、不上传 PHI；结果仅供执业医师参考，不替代临床判断。
本机记录，用于回访提醒
本班次下一步
评完分数后：进场景连算、看相邻评分、打开对应路径。本地参考，不写入 HIS。
方法学 · 公式代入、指南要点与完整说明
适用场景
何时用：既往称 ALTE 的短暂已缓解未解释事件。
需要填写的项目
- Infant age < 1 year · 选项
- Event was brief (<1 minute; typically <20–30 s) · 选项
- Now resolved / back to baseline · 选项
- ≥1 feature: cyanosis or pallor; absent/decreased/irregular breathing; marked change in tone; altered responsiveness · 选项
- Unexplained after appropriate history and physical (no explanation such as GER reflux witnessed, nasal obstruction, etc.) · 选项
- Low-risk age: >60 days · 选项
- Low-risk gestation: ≥32 weeks AND postconceptional age ≥45 weeks · 选项
- Low-risk: first BRUE (no prior BRUE / no cluster) · 选项
- Low-risk: no CPR by trained medical provider · 选项
- Low-risk: no concerning historical features (e.g. unexplained death of sibling, possible child abuse, family history concerning for arrhythmia) · 选项
- Low-risk: no concerning physical exam findings · 选项
计算方法与公式
定义清单 + 低危组合（年龄、胎龄、首次、无CPR、史/查体）。
先确认定义，再分低危/高危。
公式代入演示
下列数值取自本工具各输入项的示例值，用本页公式在服务端实际算出，供快速核对计算过程。仅演示代入方法，不构成临床建议，也不代表任何真实病例。
| Infant age < 1 year | 否 |
|---|---|
| Event was brief (<1 minute; typically <20–30 s) | 否 |
| Now resolved / back to baseline | 否 |
| ≥1 feature: cyanosis or pallor; absent/decreased/irregular breathing; marked change in tone; altered responsiveness | 否 |
| Unexplained after appropriate history and physical (no explanation such as GER reflux witnessed, nasal obstruction, etc.) | Explained / alternative diagnosis |
| Low-risk age: >60 days | No (≤60 d) |
| Low-risk gestation: ≥32 weeks AND postconceptional age ≥45 weeks | 否 |
| Low-risk: first BRUE (no prior BRUE / no cluster) | No — prior or cluster |
| Low-risk: no CPR by trained medical provider | CPR was given by trained provider |
| Low-risk: no concerning historical features (e.g. unexplained death of sibling, possible child abuse, family history concerning for arrhythmia) | Concerning history present |
| Low-risk: no concerning physical exam findings | Concerning exam |
→BRUEDoes not meet BRUE definition
- Next：Manage the explained diagnosis or ongoing illness; BRUE pathway N/A
| Infant age < 1 year | 是 |
|---|---|
| Event was brief (<1 minute; typically <20–30 s) | 是 |
| Now resolved / back to baseline | 是 |
| ≥1 feature: cyanosis or pallor; absent/decreased/irregular breathing; marked change in tone; altered responsiveness | 是 |
| Unexplained after appropriate history and physical (no explanation such as GER reflux witnessed, nasal obstruction, etc.) | Unexplained — meets BRUE definition pathway |
| Low-risk age: >60 days | Yes (>60 d) |
| Low-risk gestation: ≥32 weeks AND postconceptional age ≥45 weeks | 是 |
| Low-risk: first BRUE (no prior BRUE / no cluster) | Yes — first |
| Low-risk: no CPR by trained medical provider | No CPR by trained provider |
| Low-risk: no concerning historical features (e.g. unexplained death of sibling, possible child abuse, family history concerning for arrhythmia) | No concerning history |
| Low-risk: no concerning physical exam findings | Exam reassuring |
→BRUELow-risk BRUE
- Definition：Met
- Risk tier：Low-risk per AAP 2016
结果判读与分层
低危可考虑有限急诊评估；高危需更广检查/住院。
指南要点（原创整理）
- 先定义。
- 低危标准严格。
- 下一步：AAP BRUE 路径 / 儿科住院。
以上为依据相应指南的关键推荐、由本站用自己的语言归纳整理（非指南原文）；完整内容请见下方官方来源。
注意事项与局限
- 已有解释或仍有症状勿标 BRUE。
- 陷阱：婴儿仍异常时称 BRUE。
- 高危考虑虐待、心律失常、感染。
核对与出处 · 可验证治理
参考指南与出处
- [指南 / 主要来源]Tieder JS et al. Pediatrics 2016 (AAP BRUE) · 来源 ↗
指南全文版权归相应学会/期刊所有；本工具仅实现其决策算法并注明出处，全文请经上方官方来源获取。
依据文献年份见参考 · 数据集整理日 2026-10-08
常见问题
常见问题
- BRUE 短暂已缓解未解释事件的计算是否上传患者数据？在哪里计算？
- 计算在浏览器本地完成，输入与结果不上传服务器；结果仅供执业医师参考，须结合病史、检查与本机构方案判断，不构成诊断或处方依据。
- BRUE 短暂已缓解未解释事件怎么代入计算？能举个例子吗？
- 代入: Infant age < 1 year 否、Event was brief (<1 minute; typically <20–30 s) 否、Now resolved / back to baseline 否、≥1 feature: cyanosis or pallor; absent/decreased/irregular breathing; marked change in tone; altered responsiveness 否、Unexplained after appropriate history and physical (no explanation such as GER reflux witnessed, nasal obstruction, etc.) Explained / alternative diagnosis、Low-risk age: >60 days No (≤60 d)、Low-risk gestation: ≥32 weeks AND postconceptional age ≥45 weeks 否、Low-risk: first BRUE (no prior BRUE / no cluster) No — prior or cluster… → 结果: BRUE Does not meet BRUE definition（Next: Manage the explained diagnosis or ongoing illness; BRUE pathway N/A） 代入: Infant age < 1 year 是、Event was brief (<1 minute; typically <20–30 s) 是、Now resolved / back to baseline 是、≥1 feature: cyanosis or pallor; absent/decreased/irregular breathing; marked change in tone; altered responsiveness 是、Unexplained after appropriate history and physical (no explanation such as GER reflux witnessed, nasal obstruction, etc.) Unexplained — meets BRUE definition pathway、Low-risk age: >60 days Yes (>60 d)、Low-risk gestation: ≥32 weeks AND postconceptional age ≥45 weeks 是、Low-risk: first BRUE (no prior BRUE / no cluster) Yes — first… → 结果: BRUE Low-risk BRUE（Definition: Met、Risk tier: Low-risk per AAP 2016）
核对流程与方法学
核对与依据
本工具的公式与计算方法已在本页明示、公开可逐一核查。其公式、系数与阈值依据上方「参考指南与出处」列出的权威来源核对。想了解本站对全部临床工具的核对流程与出处覆盖情况，见 临床工具核对表与方法学 →