Sudden unexpected infant death syndrome in Ribeirão Preto, Brazil
Palavras-chave:
SIDS, Sudden death, Autopsy, Child deathResumo
OBJETIVO: Determinar a existência de casos de Síndrome da Morte Súbita da Infância (SMSI) em Ribeirão Preto. PACIENTES E MÉTODOS: Foram analisados retrospectivamente os laudos de autópsias, suas requisições e cortes histológicos dos casos de morte inesperada de crianças de 1 a 12 meses de vida submetidas a necropsia no Serviço de Verificação de Óbitos do Interior-USP entre janeiro de 1987 e dezembro de 1990. RESULTADOS: Houve 25 casos de morte inesperada dos quais 16 (64%) continuaram sem explicação após a necropsia. Destes, dez tinham documentação histológica completa. Eram sete do sexo masculino e três do feminino e as idades variaram de 1 a 3 meses (média= 1,7). Duas crianças foram encontradas mortas, três morreram ainda em casa, quatro a caminho do hospital e uma durante a amamentação. As causas de morte imputadas foram: broncoaspiração (8), não confirmadas histologicamente, SMSI (1) e morte de causa indeterminada (1). Os achados histológicos foram discreto edema pulmonar, petéquias e hemorragias no timo. CONCLUSÃO: Houveram dez casos de morte inesperada e inexplicada com as características da SMSI no período estudado.
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