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[儿科诊所患者死亡情况分析——感染的作用]

[Analysis of deaths of patients in a pediatric clinic--the role of infection].

作者信息

Pazdiora P, Důra J, Farník J, Slovácek R

出版信息

Cesk Epidemiol Mikrobiol Imunol. 1989 May;38(3):174-9.

PMID:2736635
Abstract

At the Paediatric Clinic in Plzen in 1982-1984 257 hospitalized children died; 175 were infants under 7 days of age, their deaths were not analyzed. At the age under one year 54 infants died, 25 children were older than one year. Infections of different aetiology and localization were revealed on necropsy as the immediate cause of death in half the children who died. On necropsy no infection was detected in 17 infants under one year and in 8 of the older children. Among the infants who died there were none, with one exception who were born healthy by a normal delivery, were admitted later on account of disease not threatening life and died subsequently from a nosocomial infection. The older children were admitted with malignant or irreversible chronic disease and the infections were associated with the breakdown of the defence of the organism.

摘要

1982年至1984年期间,在比尔森的儿科诊所,有257名住院儿童死亡;其中175名是7日龄以下的婴儿,他们的死亡情况未作分析。1岁以下的婴儿中有54名死亡,25名儿童年龄超过1岁。尸检显示,不同病因和部位的感染是半数死亡儿童的直接死因。尸检发现,1岁以下的17名婴儿和8名大龄儿童未检测到感染。在死亡的婴儿中,除1例外,均非顺产出生时健康,而是后来因非危及生命的疾病入院,随后死于医院感染。大龄儿童因恶性或不可逆的慢性疾病入院,感染与机体防御功能的崩溃有关。

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