Unusual d.eath of a 3-year-old c.hild; There are many strange bruises on the body

On January 18, a source at Children's Hospital 1 (HCMC) said that recently, the Emergency Department here received a case of a pediatric patient in a state of deep coma, cerebral edema, and cerebral hemorrhage. .. The patient later died.

Specifically, b.aby PTT (3 years old, living in Tan Phu district, Ho Chi Minh City) was transferred from Binh Tan district hospital with a severe prognosis. Before being admitted to a lower-level hospital, the b.aby had stopped breathing, had to resuscitate for more than 30 minutes to get the heart b.eating again, intubated, and squeezed a breathing balloon.

At Children's Hospital 1, the patient was in a deep coma, dilated pupils, cardiovascular collapse.

After examining, the doctors discovered that the patient had many bruises and hemorrhages under the skin all over the body, hands and feet, so they should investigate from the family. However, the patient's father said that he had seen these bruises half a month ago and it was unclear why he should take his son to a private medical facility but the diagnosis was unknown and the treatment was unknown.

Laboratory and imaging results showed that the patient's brain was greatly edematous with hemorrhage, increased intracranial pressure (suspected by disease or trauma), cerebral hypoplasia, pulmonary hemorrhage, coagulopathy, a very poor prognosis. heavy.

Doctors have given vasopressors, resuscitation, and factors to treat coagulation disorders to the patient. However, despite being treated actively, but at dawn on January 17, the patient took his last breath.

According to the therapist, cerebral edema and cerebral hemorrhage in pediatric patients are numerous and rare, even in children with sudden d.eath due to lack of oxygen in the brain. It is known that b.aby T. has lived with his father since childhood because his mother left. Recently, his father had to take care of his sick grandfather, so the b.aby was sent to his aunt.

Test results and imaging showed that the patient's brain was greatly edematous, accompanied by b.leeding, increased intracranial pressure, and cerebral depression. In addition, pediatric patients with pulmonary hemorrhage and moderate coagulopathy should be transfused with clotting factors. Children's Hospital 1 consulted the whole hospital, agreed that this is a case of cardiac arrest, apnea in pediatric patients with cerebral edema, cerebral hemorrhage, diffuse cerebral edema.

According to Dr. Phuong, on this patient, the doctor thought of two problems, the first is a brain hemorrhage due to a pathology and the second could be due to trauma. However, according to Dr. Phuong, in 30 years of practice, he has not seen any children with severe cerebral edema, cerebral hemorrhage like the above patient, including the patient who died suddenly due to cerebral hypoxia, cardiac arrest, and cardiac arrest. breath. The reason why, the doctors could not conclude and wait for the police to investigate.

Another information received was that when the doctors were giving emergency treatment, the c.hild's heart was still b.eating but the family members asked to go home, however, the doctors did not accept it. Currently, the police have launched an investigation to determine the cause of the c.hild's unusual d.eath.

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