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The bronchopneumonia found at autopsy developed after the collapse. Most of these children (32) survived more than a day after the initial presentation. Head injury accounted for 33 of the deaths (77%). Bronchopneumonia was identified at autopsy in 43 of this group of children. Three children whose underlying cause of death was head injury were included in “other causes.” In these children, the immediate cause of death was a consequence of the head injury but death came by a different mechanism than in the remainder of the head-injured group. Head injury included both abusive and nonabusive head injury. Children whose immediate cause of death was head injury were selected for comparison with the remainder of the group. The immediate rather than the underlying cause of death was chosen to select the subgroup. History, autopsy findings, and ocular findings were gathered and reviewed for the more general study. The deaths included diagnoses of child abuse, suspected child abuse, apparent accidental trauma, and apparent natural death.
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All child deaths were equally likely to be included in the study. Nineteen pathologists contributed one or more cases each by the end of case collection. Case selection depended on random assignment of cases and on the prosector’s willingness to participate in the study. One hundred seventy-five of nearly 400 deaths of young children investigated at the Dallas County Medical Examiner’s Office from 1982 to 1989 were studied prospectively. If bronchopneumonia is present, it is more likely to have developed after the collapse than to have caused it in this population. Of the children surviving less than a day, 4 had bronchopneumonia at death-only 1 with head injury. Of these 39 had bronchopneumonia, 32 died of head injury, and 7 had other causes of death. In the total group, 76 survived more than a day.
#ASKEP BRONCHOPNEUMONIA PDF PDF#
ASKEP BRONCHOPNEUMONIA - Download as Word Doc (.doc /.docx), PDF File (.pdf), Text File (.txt) or read online. Oleh karena itu, tidak satupun orang tua yang menginginkan anaknya jatuh sakit, lebih-lebih bila anaknya mengalami bronchopneumonia. In 43 of the total group of children, bronchopneumonia was found.Īskep Bronchopneumonia. A prospective study of the deaths of 156 children divided them into two groups: 80 children with head injury and 76 with causes of death other than sudden infant death syndrome. The question is raised whether bronchopneumonia is a consequence of survival rather than the initiating disease leading to collapse.
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Some survive varying intervals and are found to have bronchopneumonia at death. Frequency of Bronchopneumonia in Children With Survival Interval Before Death Many children do not survive after presentation in extremis.