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["8016","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","7","GOBIERNO REGIONAL","00007686","PONCE","VERA","CADINA SUSANA","171","Peru","71566927","71566927","23","1","Mestizo","",null,"","","","","","","","","",null,"CASERIO LUCHUBAMBA",{"$nulls":6},"06","CAJAMARCA","0602","CAJABAMBA","060204","SITACOCHA","2023","29","2023-07-19T05:00:00","09:15","06","CAJAMARCA","0601","CAJAMARCA","060101","CAJAMARCA","3","1","35","1","","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","II-2","2023-07-10T05:00:00","00:20","1","","","","","","","","","","","","","","","","","","1","0","0","0","0","0","0","0","0","0",null,"9","","2","","0","",null,"","2","0","2","","","1","","","","","","","1","1","2023-07-09T05:00:00","19:40","2023-07-09T05:00:00","21:30","1","","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","2023-07-10T05:00:00","00:20","1","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","5",null,"1","1",null,null,"1","1","2023-07-09T05:00:00","2","","1",null,"0","","2","2","2","2","R57.8","Otras formas de choque","J96.0","Insuficiencia respiratoria aguda","O15.2","Eclampsia en el puerperio","",null,"2","2","",null,"Directa",null,"",null,"PACIENTE LLEGO COMO PUERPERA, PARTO ATENDIDO EN C.S. LLUCHUBAMBA , 4 HORAS ANTES DE LLEGAR AL HOSPITAL APOYO CAJABAMBA","YNES MALAVER ARANA","JEFE DE EPIDEMIOLOGÍA","OB","","202329060101A101O9523POVECA1F","15-08-2023 19:01:14","26704516","15-08-2023 19:21:44","59C26300F5FBD0FD874A2F392DFC2280A61E0860"]
["8224","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","7","GOBIERNO REGIONAL","00007686","SOTO","MONTEZA","VIDALINA","171","Peru","77270900","77270900","26","1","Mestizo","",null,"","","","","1","3","SU CASA","1","",null,"C.P. EL NARANJO",{"$nulls":6},"06","CAJAMARCA","0604","CHOTA","060417","TACABAMBA","2023","33","2023-08-14T05:00:00","10:55","06","CAJAMARCA","0601","CAJAMARCA","060101","CAJAMARCA","5","","15","1","","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","II-2","2023-08-13T05:00:00","03:07","10","","","","","","","","","","","","","","","","1","LUPUS ERITEMATOSO Y ABORTO TERAPEUTICO","","5","5","0","0","5","0","3","1","10","","1","","2","","0","",null,"",null,"0","2","","","1","13","LUPUS ERITEMATOSO","","","9","lupus eritematoso","1","2","2023-08-12T05:00:00","22:00","2023-08-12T05:00:00","22:30","3","","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","2023-08-13T05:00:00","03:07","1","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","5","","1","2",null,"","1",null,"2023-06-13T05:00:00","2","","3",null,"1","","1","1","2","2","J96.0","Insuficiencia respiratoria aguda","N17.9","Insuficiencia renal aguda, no especificada","M32.9","Lupus eritematoso sistemico, sin otra especificacion","K85.9","Pancreatitis aguda, no especificada","7","2","",null,"Tardía Indirecta","1","1","2023-09-13T05:00:00","paciente con aborto terapéutico(13/06/2023) por Lupus eritematoso llega a HRDC con DX. de Pancreatitis , Falla renal aguda , Acidosis metabólica y Lupus activo debido a que no continuo con tratamiento ya que al alta medica solamente se lo indico por 7 días y luego acudir al dermatólogo , lo cual no lo realizo llegando a los 2 meses post-LU y tratamiento para LES , ingresó a UCI con evolución tórpida desfavorable ","CYNTHIA MARDELY CESPEDES VASQUEZ","COOR. VEA MM","OB","","202333060101A101O96T26SOMOVI1F","25-10-2023 08:54:28","26686434","16-09-2025 13:37:09","54076585BACB2E4358DE9E774DA3DB9D8C2B6496"]
["8331","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","7","GOBIERNO REGIONAL","00007686","LULIMACHE","SANCHEZ","LUZ ELITA","171","Peru","46586278","46586278","34","1","Mestizo","",null,"","","","","4","3","AMA DE CASA","1","",null,"CHOTA",{"$nulls":6},"06","CAJAMARCA","0604","CHOTA","060407","COCHABAMBA","2023","48","2023-11-30T05:00:00","11:00","06","CAJAMARCA","0601","CAJAMARCA","060101","CAJAMARCA","3","3","39","1","","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","II-2","2023-11-15T05:00:00","06:03","1","","","","","","","","","","","","","","","","1","CESAREADA HACE 11 AÑOS","","4","4","2","0","4","0","4","5","0",null,"1","","1","1T","10","060407A304","P.S. SOGOS","I-1","1","2","1","6","","1","5","","4","","2","","1","1","2023-11-14T05:00:00","09:00","2023-11-15T05:00:00","00:09","1","","060401A101","HOSPITAL JOSE H. SOTO CADENILLAS - CHOTA","CAJAMARCA","CHOTA","CHOTA","060401","2023-11-15T05:00:00","06:03","1","",{"$nulls":5},"6",null,"1","1",null,null,"1","1","2023-11-14T05:00:00","2","","2",null,"1","","0","0","0","0","R57.9","Choque, no especificado","N17.9","Insuficiencia renal aguda, no especificada","O72.1","Otras hemorragias postparto inmediatas","O86.0","Infeccion de herida quirurgica obstetrica","1","1","",null,"Directa",null,"",null,"PACIENTE INGRESA AL HOSPITAL REGIONAL DOCENTE DE CAJAMARCA , EL DÍA 15/11/2023 A HORAS 06:03 AM , PROCEDENTE AL HOSPITAL JOSÉ SOTO CADENILLAS - CHOTA ,  CON DX DE REFERENCIA  : \tCHOQUE HIPOVOLEMICO COAGULACION INTRAVASCULAR DISEMINADA (SINDROME DE DESFIBRINACION) . INGRESA AL AREA DE TRAUMA SHOCK , INTUBADA CON RESUCITADOR MANUAL EVALUADA POR G-O DE TURNO CON DX 1) PO 8HR HAST + SOD 2) PO 4HRS LE PARA CONTROL DE DAÑOS  3) SHOCK MIXTO  4) ACIDOSIS METABÓLICA\n Y EVALUADA POR  MEDICO ESPECIALISTA DE TRAUMA SHOCK A LAS 06:10 AM  , CON RELATO DE PERSONAL DE SALUD A CARGO : \" FUE OPERADA 1ª CESÁREA POR DILATACIÓN ESTACIONARIA LUEGO EN EL POST OPERATORIO ENCUENTRAN HEMOPERITONEO Y ATONÍA UTERINA E INGRESA A SOP Y REALIZAN HISTERECTOMÍA. HA RECIBIDO 09 PAQUETES GLOBULARES , LUEGO REALIZAN  LAPAROTOMIA Y PRESENTA PARO CORDIORESPIRATORIO ,  RECIBIÓ 12 AMPOLLAS DE BICARBONATO \" CON DX DE TRUMA SHOCK : 1 SHOCK DISTRIBUTIVO 2. I. RESPIRATORIA MEDICAMENTOSA 3. POST PARO CORDIORESPIRATORIO 4. POST COSAREADA POR DILATACIÓN ESTACIONARIA (10H) 5. POST LAPAROTOMIO , POST HISTERECTOMIA POR ATORIA UTERINA (7H) 6. AC METABÓLICA 7. HEMATURIA  8. POLITRANSFUNDIDA. PASA AL AREA DE UCI B EL 15/11/2023 A LAS 8: 30 AM , CON EVOLUCION DESFAVORABLE , HASTA EL DIA 30/11/2023 CON DX : 1.- PO 15 DE POR CESAREA + HISTERECTOMIA ABDOMINAL SUBTOTAL 2. PO DE 13 DIAS  POR EVISCERACION  3. FALLA RENAL AGUDA EN HEMODIALISIS 4. INSUFICIENCIA RESPISRIRATORIA AGUGA EN VENTILACION MECANICA  5. SHOCK DISTRIBUTIVO SEPTICO 6. EDEMA CEREBRAL 7. PO 4D LIMPIEZA QX POR PARED ABDOMINAL NECROTICA  8. MUERTE CEREBRAL\nDONDE DE PRODUCE DESCESO Y FINALMENTE A LAS 11: 00 AM SE PRODUCE EL DESCESO E INFORMA A FAMILIARES.                                                              \n *EN EL  LLENADO DE FICHA DE INVESTIGACION EPIDEMIOLOGICA DE MUERTE MATERNA  , NO SE LLENO EL ITEM V Y VIII YA QUE  PARTICIPANTES DE LA REUNIÓN INDICAN QUE CORRESPONDE AL ESTABLECIMIENTO DE ORIGEN. * NO SE CONSIGNO EL DIAGNOSTICO DE NECROPCIA , YA QUE FUE REALIZADA POR FISCALIA Y NO SE TUVO INFORMACION DE DICHO DATO .    * NO SE TUVO DATOS COMPLETOS DE LA HCL FALTA DE REPORTE OPERATORIO, SIN KARDEX, SIN INFORME MÉDICO SIN REGISTRO DE MONITOREO DURANTE EL TRANSPORTE.\n•DESCONOCIMIENTO DEL TIPO DE HEMOCOMPONENTES TRANSFUNDIDOS EN EL HOSPITAL DE CHOTA Y DEL ORIGEN DE SELLO DE CALIDAD.\n(DASTOS POST- OPERATORIOS, KARDEX , DE LA ATENCION EN EL ESTABLECIMIENTO DE REFERENCIA (HSJC - CHOTA) ","CESPEDES VASQUEZ CYNTHIA MARDELY","ENCARGADA DE VIGILANCIA EPIDEMIOLOGICA DEL HRDC","OB","","202348060101A101O9534LUSALU1F","14-12-2023 13:15:24","46804187","22-12-2023 11:04:50","C3DD6777A09B0E67B55E975CF1897B7389518A1F"]
["8371","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","7","GOBIERNO REGIONAL","00007686","VERA","INCIO","ANGELLA ESTEFANIA","171","Peru","72793509","72793509","26","1","Mestizo","",null,"","","","","0","1","AMA DE CASA","1","",null,"CAJAMARCA ",{"$nulls":6},"06","CAJAMARCA","0601","CAJAMARCA","060101","CAJAMARCA","2023","35","2023-12-02T05:00:00","09:30","06","CAJAMARCA","0601","CAJAMARCA","060101","CAJAMARCA","5","","32","1","","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","II-2","2023-08-30T05:00:00","23:06","1","","","","","","","","","","","","","","","","","","1","0","0","0","0","0","0","0","0","0","","9","","2","","0","",null,"","2","0","2","","","1","9","","1","","2","","1","1","2023-08-30T05:00:00","","2023-08-30T05:00:00","22:40","1","","060101A204","SIMON BOLIVAR","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","2023-08-30T05:00:00","23:06","1","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","0","","1","1",null,"","1","1","2023-08-31T05:00:00","2","","2",null,"1","","2","2","2","2","J96.0","Insuficiencia respiratoria aguda","J18.9","Neumonia, no especificada","T88.7","Efecto adverso no especificado de droga o medicamento","O62.8","Otras anomalias dinamicas del trabajo de parto","7","2","",null,"Tardía Indirecta","1","1","2023-09-02T05:00:00","PACIENTE MUJER INGRESÓ AL HOSPITAL REGIONAL DOCENTE DE CAJAMARCA , EL DIA 30/12/2023 A HORAS 23:06 PM , REFERIDA DEL HOSPITAL SIMON BOLIVAR , CON DX SD FEBRIL, P/ CONVULSION FEBRIL GESTANTE DE 32 SEM POR BMFOBITO FETAL PROBABLE EFECTO SECUANDARIO A MEDICAMENTO , INGRESÓ AL AREA DE TRAUMA SHOCK Y FUE  EVALUADA POR GO DE TURNO , EL CUAL CONSIGNÓ : GESTANTE REFERIDA DE HSB, INGRESA A LA UNIDAD DE TRAUMA SHOCK, CON DX, GESTANTE DE 32 SEM POR BMF - ÓBITO FETAL, SD FEBRIL, P/ CONVULSIÓN FEBRIL PROBABLE EFECTO ADVERSO DE MEDICAMENTO. SE LE ADMINISTRÓ: METAMIZOL 2G , EXAMEN CLÍNICO: PA: 110/64 MMHG FC: 184 X SO2: 93 % T°: 41 °C\r\nPACIENTE EN AMEG, TRASTORNO DE CONCIENCIA ,ABDOMEN: ÚTERO GRÁVIDO, AU: 30 CM, ÚTERO NO CONTRAÍDO FCF: AUSENTE \r\nTV: D: 0 B: 0, CÉRVIX ANTERIOR AP: CABEZA ALTA.ECOGRAFÍA: ÓBITO FETAL , CON DX 1.GESTANTE DE 32 SS POR BMF\r\n2.OBITO FETAL D/C ROTURA UTERINA  3.P/ SINDROME CONVULSIVO POR TRASTORNO DE CONCIENCIA  4.P/ EFECTO ADVERSO A MEDICAMENTO (HIPERTONIA). 5.\tP/ENCEFALOPATIA DE EAD . PASA A SOP PARA INTERVENCION DE CESAREA , SE DIÓ EL PARTO EL 31/08/2023 A HORAS 03:00 , CON ÓBITO FETAL , LIGERAMENTE SANGUINOLENTO , CON REVISION DE ÚTERO HIPOTÓNICO, NO RESPONDIÓ A TERAPIA FARMACOLÓGICA, NI SUTURAS COMPRESIVAS, PERDIDA SANGUÍNEA: 2,5 LITROS, ACTIVACIÓN DE CLAVE ROJA Y SE PROCEDIÓ  A HAST. INGRESA AL SERVICIO DE UCI A CAMA 305  EL DIA 31/08/2023 A HORAS 13:10 PM , DR ESPECIALISTA EVALUA : PACIENTE MUJER DE 25 AÑOS. INGRESÓ POR EMERGENCIA EL 30/08/2023 A LAS 23:06 H, REFERIDA DE SIMÓN BOLÍVAR POR ÓBITO FETAL, GESTACIÓN DE 32 SEMANAS, SÍNDROME FEBRIL, SÍNDROME CONVULSIVO. INGRESÓ HERMODINÁMICAMENTE ESTABLE A UTS Y SOP PARA HAST, POR ATONÍA UTERINA Y SHOCK HIPOVOLÉMICO EN 2 OCASIONES. \r\nAL EXAMEN: PA: 140/80 MMHG FC: 103X’ FR: 18X’ SAT O2: 96% EXÁMENES AUXILIARES: GLUCOSA: 117      ÚREA: 44.1   CREAT: 2.39   TGO :270   TGP: 890   LDM: 2207.3   DIMERO D: 215.4    LEUC: 14100   HTO: 28.7   HB: 9.3 PLAQ: 49 000   INR: 2.64\r\nDX:1.DIFUNCION MULTIORGANICA (HEMATOLOGICA, HEPÁTICA, RENAL) 2.IRA EN VM 3.TRANSTORNO DE COAGULACION: CID \r\n4.SINDROME CONVULSIVO 5.PREECLAMPSIA PROBABLE 6.PO POR CSTP + HAST POR ATONIA UTERINA  , EL DIA 14/09/2023 SE DIÓ DE ALTA POR EL AREA DE GINECO-OBSTETRICIA CON DX :1. PO 38D DE RELAPAROTOMIA EXPLORATORIA MAS DESEMPAQUETAMIENTO PELVICO 2. PO 42D DE CESAREA MAS HAST POR OBITO FETAL MAS ATONIA UTERINA  3. ECLAMPSIA RESUELTA 4. PES EN TRATAMIENTO 5.IRA EN VM 6. ATELECTASIA IZQUIERDA 7. ENFERMEDAD RENAL 8.POLINEUROPATIA DE PACIENTE CRITICO 9.ANEMIA MODERADA . PACIENTE FALLECIÓ EL DIA 02/12/2023 A LAS 09:30 AM . MEDIANTE LA REUNION DE MUERTE MATERNA DEL COMITE DEL HRDC , EL ITEM V Y VIII DE LA HOJA DE INVESTIGACION , NO CORRESPONDE A CASO EN EL HRDC .\r\n","CESPEDES VASQUEZ CYNTHIA MARDELY","ENCARGADA DE VIGILANCIA EPIDEMIOLOGICA DEL HRDC","OB","","202335060101A101O95T26VEINAN1F","28-12-2023 11:40:54","26686434","16-09-2025 13:40:27","1CF3E6D21B1D66D0DEC9CF7548AC1598ADFF9E5C"]
["8456","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","7","GOBIERNO REGIONAL","00007686","ZAMORA","MUÑOZ","GRACIELA","171","Peru","45292892","45292892","35","1","Mestizo","",null,"","","","","3","3","AMA DE CASA","1","",null,"EL TINGO ",{"$nulls":6},"06","CAJAMARCA","0607","HUALGAYOC","060701","BAMBAMARCA","2024","6","2024-02-04T05:00:00","00:58","06","CAJAMARCA","0601","CAJAMARCA","060101","CAJAMARCA","3","1","40","1","","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","II-2","2024-02-03T05:00:00","19:20","1","","1","","","","","","","","","","","","","","","","","3","2","0","1","3","0","3","10","0",null,"3","","1","2T","19","060703A302","P.S. EL TINGO","I-1","1","2","1","5","","1","","","6","","1","","1","2","2024-02-03T05:00:00","12:00","2024-02-03T05:00:00","15:20","1","","060401A101","HOSPITAL JOSE H. SOTO CADENILLAS - CHOTA","CAJAMARCA","CHOTA","CHOTA","060401","2024-02-03T05:00:00","19:20","1","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","4",null,"1","2",null,null,"1","1","2024-02-03T05:00:00","2","","1",null,"5","","2","2","2","2","D65.X","Coagulacion intravascular diseminada [sindrome de desfibrinacion]","R57.1","Choque hipovolemico","O62.1","Inercia uterina secundaria","O71.3","Desgarro obstetrico del cuello uterino","1","2","",null,"Directa",null,"",null,"PACIENTE INGRESA ALHOSPITAL REGIONAL DOCENTE DE CAJAMARCA ,  REFERIDA DEL HOSPITAL DE APOYO DE CHOTA EL DIA 03-02-2024 A LAS 07:20 PM , CON DX DE REFERENCIA : 1) OTRAS HEMORRAGIAS POSTPARTO INMEDIATAS , INGRESA AL AREA DE TRAUMA SHOCK , EN PARO CARDIORESPIRATORIO , SE REALIZA RCP AVANZADO POR 9 MINUTOS, SALIENDO DEL PARO. CON SNC: ESCALA GLASGOW 3/15 PTS, RESPIRACION APNEICA, PUPILAS MIDRIATICAS BILATERAL , CON DX DE INGRESO : 1.-PARO CARDIORESPIRATORIO 2.-SHOCK HIPOVOLEMICO SEVERO 3.- D/C ATONIA UTERINA 4.- ANEMIA SEVERA .SE REVISA CANAL VAGINAL, NO SE EVIDENCIA SANGRADO ACTIVO,SANGRADO VAGINAL ESCASO,  SE ENCUENTRA 2 PINZAS EN CANAL VAGINAL . PACIENTE INGRESO A CENTRO QUIRURGICO  A LAS 20:05HR MIENTRAS SE PREPARA A PACIENTE PARA ANESTESIA PACIENTE PRESENTA PARO CARDIORESPIRATORIO (20:30HR) REALIZANDOCE RCP AVANZADO CON DISFRIBILADOR MANUAL , EN ESPERA DE ESTABILIZACION DE PACIENTE PARA REALIZAR INTERVENCION QUIRURGICA , SE EVALUA SANGRADO EN ZONA DE VENOPUNSION , SE RECIBE EXAMENES DE LABORATORIO, PERFIL COAGULACION NO DETECTABLE, PLAQUETAS 75MIL, HB: 7,2GR/DL, PRESENTANDO CID REFRACTARIO . A LAS 20:40 PACIENTE SALE DE PARO CARDIACO, PRESENTANDO PRESION DE 52/ 29MMHG CON FC: 118 x¨EN VENTILADOR MECANICO , USANDO TRES VASOPRESORES (NORADRENALINA, VASOPRESINA, EPINEFRINA) , SE PROCEDE ANESTESIA PARA INTERVENCION QUIRURGICA . 20:50 PACIENTE INGRESA A SOP PARA HISTERECTOMIA ABDOMINAL TOTAL , CON HALLAZGOS OPERATORIO RELEVANTES 1.-UTERO +/- 25CM ATONICO , INFILTRADO EN AMBOS CUERNOS, OVARIO IZQUIERDO NECROTICO E INFUNDIBILO PELVICO, VASOS TORTUOSOS SUPERFICIALES EN SEGMENTO UTERINO INFERIOR Y CARA POSTERIOR.  SIO: 250CC CANAL VAGINAL: COAGULOS FRAGILES +/- 500CC, CON DOS PINZAS PEAN A NIVEL DE ARTERIAS UTERINAS ( SE RETIRA AL TERMINO DE LA CIRUGIA)  SE REALIZA CIRUGIA DE CONTROL DE DAÑO (EMPAQUETAMIENTO CON 10 COMPRESAS) .COMPLETO TRANSUFION MASIVA DE 6PGB + 6PLASMAS + 6 PLAQUETAS 10 CRIOPRECIPITADOS , USO DE VASOPRESORES. PACIENTE PASA DE SOP A UCI CON VASOPRESORES, CON ESCALA DE GLASGOW 3PTOS , CON 3 VASOPRESORES, EN APARENTE ESTADO DE COMA. CON DX 1.- POST OPERADA  HAST + EMPAQUETAMIENTO PELVICO + SALPINGECTOMIA BILATERAL + OOFERECTOMIA IZQUIERDA 2.- SHOCK HIPOVOLEMICO SEVERO 3.- POLITRANSFUNDIDA 4.- FALLA MULTIORGANICA : CARDIOVASCULAR, RESPIRATORIA, HEMATOLOGICA 5.- CID 6.- ACIDOSIS METABOLICA SEVERA  7.- ANEMIA SEVERA 8.- THE: HIPERKALEMIA . 00:30 PACIENTE EN SHOCK REFRACTARIO , EN FALLA MULTIORGANICA PRESENTA PARO CARDIORESPIRATORIO SE REALIZA RCP AVANZADO , NO RESPONDIENDO A MANIOBRAS DE RCP . 00:58 SE CONSTATA FALLECIMIENTO DE PACIENTE .\r\nOBSERVACION : PARA EL LLENADO DEL ITEM VIII , SE TOMO COMO REFERENCIA LA ATENCION EN EL HOSPITAL REGIONAL DOCENTE DE CAJAMARCA , DE ACUERDO AL ANALISIS DE HCL BCA, HOSPITAL NO ADMISTRO DE MANERA CORRECTA LA CLAVE ROJA; POR OTRO LADO LA ATENCION BRINDADA EN HOSPITAL DE CHOTA DEBIO SER MAS AGRESIVA EN EL SENTIDO DE QUE DEBIO REALIZAR LA HISTERECTOMIA \r\n\r\n\r\n","CESPEDES VASQUEZ CYNTHIA MARDELY","RESPONSABLE DE VIGILANCIA DE MUERTE MATERNA","OB","","20246060101A101O9535ZAMUGR10F","16-02-2024 12:33:33","46804187","12-08-2024 11:11:55","F4C3792C1EE012F4D5EF74AAB8D6FA0E2587BC4B"]
["8889","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","7","GOBIERNO REGIONAL","00007686","HERNANDEZ","GAMARRA","MERLI","171","Peru","46937289","46937289","32","1","Mestizo","",null,"","","","","4","3","ama de casa","1","","JIRON","","ITALIA LL-","URBANIZACION","LA MOLINA ","","","","06","CAJAMARCA","0601","CAJAMARCA","060108","LOS BAÑOS DEL INCA","2024","30","2024-07-26T05:00:00","22:08","06","CAJAMARCA","0601","CAJAMARCA","060101","CAJAMARCA","3","1","37","1","","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","II-2","2024-07-26T05:00:00","03:24","1","","1","","","","","","","","","","","","","","","","","1","1","0","0","2","0","2","4","10",null,"9","","1","1T","10","060108A304","SANTA BARBARA","","1","3","1","5","","2","","","","","","","1","1","2024-07-25T05:00:00","23:25","2024-07-26T05:00:00","03:00","1","","060101A204","SIMON BOLIVAR","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","2024-07-26T05:00:00","03:24","1","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","2",null,"1","1",null,null,"1","1","2024-07-26T05:00:00","2","","2",null,"1","",{"$nulls":4},"O75.1","Choque durante o despues del trabajo de parto y el parto","O26.6","Trastornos del higado en el embarazo, el parto y el puerperio","O14.1","Preeclampsia severa","",null,"1","1","",null,"Directa",null,"",null,"PACIENTE INGRESA AL HOSPITAL REGIONAL DOCENTE DE CAJAMARCA A LAS 03:24 AM, LLEGANDO A TÓPICO DE EMERGENCIA DE GINECOOBSTETRICIA PARA SER EVALAUDA A LAS 03:35 AM, CON  DIAGNÓSTICO DE INGRESO AL HRDC :1) G2 DE 37 4/7 SEM POR ECO I°T . 2) PRÓDROMOS DE LABOR DE PARTO 3) THE : PREECLAMPSIA SEVERA  D/C SINDROME DE HELLP 4) SUFRIMIENTO FETAL AGUDO , INGRESA A SOP A LAS 04:12 AM Y TERMINA CIRUGIA A LAS 06:20 CON HALLAZGOS :  HEMOPERITONEO 500 CC + HEMATOMA HEPÁTICO SUBCAPSULAR EN CARA ANTERIOR A NIVEL DE SEGMENTOS: V, VI, VII, VIII ADEMAS SOLUCIÓN DE CONTINUIDAD EN POLO INFERIOR DE SEGMENTO VI APROX, 5 CM LONGITUD SOBRE EL CUAL SE EVIDENCIA ABUNDANTES COÁGULOS SANGUÍNEOS.  SE REALIZA EMPAQUETAMIENTO HEPÁTICO (11 COMPRESAS) + COLOCACIÓN BOLSA DE BOGOTÁ,  DIAGNÓSTICO POST SOP : 1)   POST CESAREADA SEGMENTARIA PRIMARIA  + EMPAQUETAMIENTO HEPÁTICO POR PREECLAMPSIA SEVERA + SD. HELLP + ROTURA HEPÁTICA, POLITRANSFUNDIDA  (5 PAQUETES GLOBULARES + 4PFC + 1 AFERESIS). SE REALIZÓ UNA SEGUNDA INTERVENCIÓN QUIRÚRGICA , INICICIANDO A LAS 10:0 AM Y TERMINA A LAS 11:15 AM CON DIAGNÓSTICO QUIRÚRGICO : PO DE LAPAROTOMIA EXPLORATORIA + REEMPAQUETAMIENTO HEPÁTICO + COLOCACIÓN DE SURGICEL+ COLOCACIÓN DE HEMOCOLÁGENO + HEMOSTASIA HEPÁTICA + COLOCACIÓN BOLSA DE BOGOTÁ  ; SE LE REALIZÓ TRANSFUSIÓN DE  3 PG + 6 PFC + 6 PLAQUETAS + 6 CRIOPRECIPITADOS , A LAS 14:25 SE REALIZA 3° INTERVNECIÓN QUIRÚRGICA RELAPAROTOMIA EXPLORATORIA + REEMPAQUETAMIENTO HEPATICO + CIERRE DE PARED ABDOMINAL POR HEMATOMA HEPATICO LOBULO IZQUEIRDO + PREECLAMPSIA SEVERA + SD. HELLP Y PACIENTE CON PRESIÓN ARTERIAL  INDETECTABLE A PESAR DE USO VASOPRESOR A ALTA DOSIS. QUEDA EN SALA 2 DE OPERACIONES CON MONITOREO  ESTRICTO. MAL PRONÓSTICO, MAL ESTADO GENERAL, SE LE TRANSFUNDIÓ 2 PAQUETES GLOBULARES + 2 PAQUETES DE PLASMA FRESCO CONGELADO. PACIENTE FALLECE EN SALA DE OPERACIONES EL DIA 26/07/2024 A HORAS 22:08 PM . * RESPECTO AL LLENADO DE LA FICHA DE INVESTIGACIÓN DE MUERTE MATERNA , EN REUNIÓN DEL CASO DE MUERTE MATERNA , SE CONSIDERA QUE EL LLENADO DE LOS  ITEMS V Y VIII CORRESPONDEN AL ESTABLECIMIENTO DE ORIGEN . ** CON RESPECTO A DIAGNÓSTICO DE NECROPSIA , EN INFORME DE FISCALIA ESTA CONSIDERADO AÚN  SIN DEFINIR . ","CÉSPEDES VÁSQUEZ CYNTHIA MARDELY","ENCARGADA DE VIGILANCIA DE MUERTE MATERNA","OB","","202430060101A101O9532HEGAME1F","09-08-2024 13:08:08","46804187","14-08-2024 11:44:42","B9211DF37592669F5B0A44EC0453D7385A877D5D"]
["8938","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","7","GOBIERNO REGIONAL","00007686","VASQUEZ","QUINTOS","ELSA","171","Peru","42023720","42023720","40","1","Mestizo","",null,"","","","","1","2","ama de casa","1","","OTROS","SALOMON VILCHEZ MURGA S/N","","OTROS","","","","","06","CAJAMARCA","0606","CUTERVO","060601","CUTERVO","2024","35","2024-08-31T05:00:00","01:15","06","CAJAMARCA","0601","CAJAMARCA","060101","CAJAMARCA","3","2","35","1","","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","II-2","2024-08-27T05:00:00","19:54","1","","1","","","","","","","","","","","","","","","","","3","3","0","0","4","0","3","16","5",null,"1","","1","1T","8","060601A201","SANTA MARIA DE CUTERVO","","2","0","1","5","","1","2","","3","","9","HEMORRAGIA INTRACEREBRAL","1","1","2024-08-27T05:00:00","09:50","2024-08-27T05:00:00","12:39","1","","060601A201","SANTA MARIA DE CUTERVO","CAJAMARCA","CUTERVO","CUTERVO","060601","2024-08-27T05:00:00","19:54","1","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","7",null,"1","2",null,null,"1","1","2024-08-27T05:00:00","2","","2",null,"1","","1","1","1","1","G93.2","Hipertension intracraneal benigna","I62.9","Hemorragia intracraneal (no traumatica), no especificada","O15.9","Eclampsia, en periodo no especificado","O14.2","Sindrome hellp","2","2","",null,"Directa",null,"",null,"* ITEM V  QUE SE REFIERE A DATOS COMUNITARIOS , SE COMPLETO CON INFORMACION DE FICHA DE INVESTIGACION DEL HOSPITAL SANTA MARIA DE CUTERVO; CON RESPECTO AL ITEM VIII QUE SE REFIERE A LAS DEMORAS, SE COMPLETÓ INFORMACIÓN CON ACUERDOS EN REUNION DE CASO DE MUERTE MATERNA A NIVEL REGIONAL. ","CYNTHIA MARDELY CÉSPEDES VÁSQUEZ","ENCARGADA DE VIGILANCIA DE MUERTE MATERNA","OB","","202435060101A101O9540VAQUEL1F","12-09-2024 12:57:20","46804187","13-09-2024 13:30:55","B2E6CFC198C8E4040E508EC6B209EA4AAFD1B5EC"]
["9070","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","7","GOBIERNO REGIONAL","00007686","IZQUIERDO","JUAREZ","MARIA FLORMIRA","171","Peru","45392548","45392548","35","1","Mestizo","",null,"","","","","1","1","ama de casa","1","","OTROS","CASERIO SOGORON BAJO ","","OTROS","CASERIO SOGORON BAJO ","","","","06","CAJAMARCA","0601","CAJAMARCA","060105","ENCAÑADA","2024","43","2024-10-21T05:00:00","11:30","06","CAJAMARCA","0601","CAJAMARCA","060101","CAJAMARCA","3","3","31","1","","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","II-2","2024-10-02T05:00:00","04:45","1","","1","","","","","","","","","","","","","","","","","2","2","0","0","3","0","3","13","0",null,"3","","1","1T","6","060105A201","ENCAÑADA","I-3","1","2","1","5","","1","3","","3","","9","1) preeclampsia severa 2) sindrome de hellp 3)rotura uterina 4)   insuficiencia renal AKI III5) IRA TIPO IV 6) FALLA MULTIORGÁNICA 6)INFECCION DEL TRACTO URINARIO, navm,   shock refractario distributi","1","1","2024-10-02T05:00:00","02:47","2024-10-02T05:00:00","03:30","5","","060105A201","ENCAÑADA","CAJAMARCA","CAJAMARCA","ENCAÑADA","060105","2024-10-02T05:00:00","04:45","1","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","1",null,"1","1",null,null,"1","1","2024-10-02T05:00:00","2","","2",null,"1","","1","1","2","1","R57.9","Choque, no especificado","O26.6","Trastornos del higado en el embarazo, el parto y el puerperio","O14.1","Preeclampsia severa","J96.0","Insuficiencia respiratoria aguda","2","2","",null,"Directa",null,"",null," * En consenso CPMMFN, como causa final: Shock Refractario Distributivo, sin embargo no se encontró CIE-10 para este diagnóstico, por lo tanto se a considerado como Otras Formas de Choque.   * Con respecto  a demoras ,se consideraron las identificadas en el primer nivel Demora N° 2: Se evidencia que, si hubo demora en la decisión de buscar ayuda por parte de la gestante y los familiares, puesto que las molestias de la fallecida iniciaron según informa en HRC 4 días antes de la referencia. Demora N° 4: Personal de salud del C.S Encañada no identificó oportunamente los factores de riesgo durante la Atención Prenatal que fue 7 días antes a la emergencia, ingreso con anasarca y Hellp, encontrándose en cirugía rotura hepática. hasta el día 8 de hospitalización Hellp lo reportan en remisión, pero el día 13 paciente presenta NAVM, más herida operatoria infectada, mas insuficiencia renal y a pesar de ello HRDC no evaluó la necesidad de referirla a un instituto especializado, fallece al 19 día hospitalario.  Neonato vivo","CÉSPEDES VÁSQUEZ CYNTHIA MARDELY","ENCARGADA DE VIGILANCIA DE MUERTE MATERNA","OB","","202443060101A101O9535IZJUMA1F","11-11-2024 09:27:17","26686434","28-03-2025 16:50:53","61761A6C77F71499E2B0D26C4C00B5C526A68E76"]
["9073","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","7","GOBIERNO REGIONAL","00007686","GRACIANO","HUACCHA","DEISY ELIZABETH","171","Peru","71915054","71915054","22","1","Mestizo","",null,"","","","","4","1","AMA DE CASA","1","","OTROS","HUANICO ","","CENTRO POBLADO","HUANICO ","","","","06","CAJAMARCA","0601","CAJAMARCA","060111","NAMORA","2024","43","2024-10-26T05:00:00","14:34","06","CAJAMARCA","0601","CAJAMARCA","060101","CAJAMARCA","1","","30","1","","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","II-2","2024-10-26T05:00:00","13:58","1","","1","","","","","","","","","","","","","","","","","0","0","0","0","0","0","0","0","0",null,"9","","2","","0","",null,"","2","0","2","","","1","13","1)taquisistolia por  desprendimiento prematuro de placenta 2) óbiTo fetal 3) edema agudo de pulmÓn2) INSUFICIENCIA  AGUDA","","","","","1","1","2024-10-26T05:00:00","11:50","2024-10-26T05:00:00","13:30","3","","060108A201","BAÑOS DEL INCA","CAJAMARCA","CAJAMARCA","LOS BAÑOS DEL INCA","060108","2024-10-26T05:00:00","13:58","1","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","0",null,"1","1",null,null,"1","2","2024-10-26T05:00:00","2","","2",null,"1","","2","2","2","2","J96.0","Insuficiencia respiratoria aguda","J81.X","Edema pulmonar","X85.0","Agresion con drogas, medicamentos y sustancias biologicas, vivienda","O45.9","Desprendimiento prematuro de la placenta, sin otra especificacion","6","1","",null,"Directa",null,"",null,"*EN REUNION DE MUERTE MATERNA DEL HOSPITAL REGIONAL DOCENTE DE CAJAMARCA SE CONCLUYE : 1) CON RESPECTO AL ITEM V(DATOS DEL ENTORNO SOCIAL-COMUNITARIO) , NO SE CUENTA CON DATOS POR TRATARESE DE UN ESTABLECIMIENTO DE REFERENCIA  2) EN EL ITEM VIII, SE REALIZA EN BASE A LA ATENCIÓN EN EL HRDC 3) LAS CAUSAS DE DEFUNCIÓN SE PLASMA DE ACUERDO AL CONSENSO POR PARTE DE MÉDICOS ESPECIALISTAS ASISTENTES A REUNIÓN 4)  NECROPSIA ES REALIZADA POR MINISTERIO PÚBLICO, Y HASTA LA FECHA AÚN NO LLEGA RESULTADOS DE NECROPSIA . ","CÉSPEDES VÁSQUEZ CYNTHIA MARDELY","ENCARGADA DE VIGILANCIA DE MUERTE MATERNA","OB","","202443060101A101O9522GRHUDE1F","14-11-2024 09:13:27","46804187","14-11-2024 11:36:52","3083CEB37FAEF1E2AD74D77104566F30204D6488"]
["9111","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","7","GOBIERNO REGIONAL","00007686","SANCHEZ","FAICHIN","MARIA ELODIA","171","Peru","78010701","78010701","27","1","Mestizo","",null,"","","","","2","3","AMA DE CASA","1","",null,"CASERIO MARCOPAMPA","",null,"CASERIO MARCOPAMPA","","","","06","CAJAMARCA","0610","SAN MARCOS","061001","PEDRO GALVEZ","2024","46","2024-11-13T05:00:00","18:15","06","CAJAMARCA","0601","CAJAMARCA","060101","CAJAMARCA","3","1","36","1","","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","II-2","2024-11-12T05:00:00","08:25","1","","","","","","","","","","","","","","","","1","CESAREADA ANTERIOR +- 6 AÑOS","","2","2","1","0","2","1","2","6","2",null,"9","","1","2T","9","061001A201","SAN MARCOS","I-4","1","3","1","5","","1","13","1) SÉPSIS FOCO DÉRMICO  2) ÓBITO FETAL","9","1) SINDROME COMPARTIMENTAL 2)FASCITIS NECROTIZANTE","9","CHOQUE TÓXICO STREPTOCÓCICO","2","0",null,"",null,"","","","",{"$nulls":4},"",null,"","","",{"$nulls":5},"0",null,"1","1",null,null,"2","2","2024-11-13T05:00:00","2","","2",null,"1","","2","2","2","1","A48.3","Sindrome del choque toxico","L08.8","Otras infecciones locales especificadas de la piel y del tejido subcutaneo","M72.6","Fascitis necrotizante","",null,"7","2","",null,"Indirecta",null,"",null,"1) CON RESPECTO AL ITEM V, DATOS DEL ENTORNO SOCIAL/COMUNITARIO, NO SE CUENTA CON DATOS YA QUE PACIENTE INGRESÓ AL ÁREA DE CONSULTA EXTERNA DEL HRDC POR CONTROL OBSTÉTRICO DE ALTO RIESGO DEBIDO A CESÁREA ANTERIOR . 2) NO SE ADJUNTA CERTIFICADO DE DEFUNCIÓN EN INFORME, YA QUE OCCISA FUE TRASLADADA POR EL MINISTERIO PÚBLICO PARA NECROPSIA Y EMISIÓN DE CERTIFICADO CORRESPONDIENTE. ","CÉSPEDES VÁSQUEZ CYNTHIA MARDELY","ENCARGADA DE VIGILANCIA DE MUERTE MATERNA","OB","","202446060101A101O9627SAFAMAF","04-12-2024 08:32:53","46804187","04-12-2024 11:22:41","2011D4290A50FB601D4F1FD2FADC649C95955993"]
["9223","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","7","GOBIERNO REGIONAL","00007686","COTRINA","CHAVEZ","DEYSI SARITA","171","Peru","41910253","167793","43","1","Mestizo","",null,"","","","","4","3","ama de casa","1","",null,"","",null,"BALSAS ","","","","01","AMAZONAS","0101","CHACHAPOYAS","010103","BALSAS","2025","1","2024-12-30T05:00:00","01:00","06","CAJAMARCA","0601","CAJAMARCA","060101","CAJAMARCA","3","2","39","1","","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","II-2","2024-12-29T05:00:00","19:44","1","","1","","","","","","","","","","","","","","","","","2","2","0","0","3","0","3","4","2","","3","","1","1T","7","010103A201","C.S. BALZAS","I-3",null,"0",null,"","","1","","","6","","1","",null,"2","2024-12-29T05:00:00","07:20","2024-12-29T05:00:00","19:15","1","","060101A204","SIMON BOLIVAR","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","2024-12-29T05:00:00","19:44","1","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","0","3","1","2","2","","2","2","2024-12-29T05:00:00","2","","1","1","1","","2","2","2","1","R57.1","Choque hipovolemico","O72.2","Hemorragia postparto secundaria o tardia","O62.1","Inercia uterina secundaria","O62.8","Otras anomalias dinamicas del trabajo de parto","1","2","",null,"Directa","4","1","2025-04-14T05:00:00","PACIENTE LLEGA AL HOSPITAL CELENDIN EL 28/1//2024 A LAS 14:20 Y SE QUEDA EN OBSERVACION HASTA LAS 18:20 EN QUE ES INGRESADA A HOSPITALIZACION CON DILATACION DE 4CMM A LAS 4:20 SE DECIDE REFERENCIA POR DILATACION ESTACIONARIA (8cm ) A HOSP. SIMON, LLEGANDOA LAS 7:20 AM DEL 29/12/2024 , SE LA ACENTUA  Y LAS 14:50 SE PRODUCE PARTO, A LAS 15:15 SE COMUNICA A G-O LA NO SALIDA DE PLACENTA, G-O HACE TRACCION CONTROLADA, SALE PLACENTA CON MEMBRANAS DISOCIADAS, REALIZA LU, PERO SIGNOS VITALES VAN DECENSO POR HEMORRAGIA, A LAS 18:00HRS  HISTERECTOMIA Y SE COORDINA REFERENCIA A HRDC. HACE PRIMER PARO, LLEGANDOA 18:40, FALLECE EL DIA 30/12/2024 A LAS 00:15 HRS. LAS DEMORAS SE DIERON EN HOSP. SIMON BOLIVAR DEBIDO A QUE CELENDIN REFIRIO CON DILATACION ESTACIONARIA  CON 5CM Y SIMON LA TUVO 12HRAS MAS. TIEMPO TOTAL DE PERMANENCIA EN HOSPITALES 10H CELENDIN, 12HRS SIMON Y 05:30 HRDC","cECILIA rAVINES cUBAS","ENCARGADA DE VIGILANCIA DE MUERTE MATERNA ORE-DIRESA","OB","","20251060101A101O9543COCHDEF","21-01-2025 08:21:33","26686434","01-07-2025 12:16:12","0DB78F3949D2747A4727FA5356271E09F58F77D6"]
["9256","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","7","GOBIERNO REGIONAL","00007686","ARANA","MOSQUEIRA","SANTOS FLOR","171","Peru","71804369","71804369","28","1","Mestizo","",null,"","","","","2","3","AMA DE CASA","1","",null,"","","OTROS","HIERBA BUENA ","","","","06","CAJAMARCA","0602","CAJABAMBA","060202","CACHACHI","2025","4","2025-01-22T05:00:00","18:15","06","CAJAMARCA","0601","CAJAMARCA","060101","CAJAMARCA","3","1","33","1","","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","II-2","2025-01-21T05:00:00","17:54","1","","1","","","","","","","","","","","","","","","","","2","1","0","1","2","1","2","9","4","","9","","1","1T","5","060202A307","HIERBA BUENA","I-1","1","1","2","5","","1","2","","3","","2","","1","2","2025-01-21T05:00:00","13:00","2025-01-21T05:00:00","14:00","1","","060201A101","DE APOYO CAJABAMBA","CAJAMARCA","CAJABAMBA","CAJABAMBA","060201","2025-01-21T05:00:00","16:47","1","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","0","3","1","1","2","","1","1","2025-01-21T05:00:00","2","","2","1","1","","1","1","1","1","R57.0","Choque cardiogenico","I50.0","Insuficiencia cardiaca congestiva","Q25.0","Conducto arterioso persistente","O14.1","Preeclampsia severa",null,"2","",null,"Indirecta","3","1","2025-10-02T05:00:00","APN de mala calidad, debido a que a pesar de presentar edema no se identifica el riesgo, no se refiere a especialista, el 18/01/2025 presenta ITU y Vaginitis , se identifica edema pero se da tt para ITU y Vaginitis con Ceftriaxona de 1gr por tres días, 4 días previo a deceso familiar observa edema en MI y un día antes a la emergencia 20/01/2025 aumento edema hasta rodillas  el 21/01/2025 a la 01:00am decide trasladar a P.S Hierva Buena llegando 2:30am con contracciones y anasarca, familia no deseaba referencia, pero se concreta referencia a las 7 de la mañana , pero ambulancia acude a las 10:00am llegando a Hosp. Cajabamba a las 13:00 hras, y de alli al HRDC demorando 4horas en llegar","cecilia ravines cubas","RESPONSABLE DE VIGILANCIA ore DIRESA Cajmarca","OB","","20254060101A101O9528ARMOSA1F","15-02-2025 08:40:06","26686434","09-10-2025 16:00:28","E1512DEF12A3C8FF8C44A07FBF17962DC743D4F7"]
["9300","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","7","GOBIERNO REGIONAL","00007686","AYAY","DE LA CRUZ","OLINDA FELICITA","171","Peru","41433338","310600","42","1","Mestizo","",null,"","","","","4","3","","","",null,"","",null,"","","","","06","CAJAMARCA","0612","SAN PABLO","061201","SAN PABLO","2025","8","2025-02-21T05:00:00","13:59","06","CAJAMARCA","0601","CAJAMARCA","060101","CAJAMARCA","3","2","32","1","","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","II-2","2025-02-15T05:00:00","17:03","1","","","1","","","","","","","","","","","","","","","","3","3","1","0","3","0","3","7","10","1","9","","1","2T","5","061201A201","SAN PABLO","I-4","2","0","2","5","","1","2","","2","","9","Accidente cerebro vascular muerte cerebral",null,"1","2025-02-15T05:00:00","15:00","2025-02-15T05:00:00","15:30","3","","061201A201","SAN PABLO","CAJAMARCA","SAN PABLO","SAN PABLO","061201","2025-02-15T05:00:00","17:03","1","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","0","2","1","1","2","","1","1","2025-02-15T05:00:00","2","","2","2","1","","1","1","1","1","I61.0","Hemorragia intracerebral en hemisferio, subcortical","I60.9","Hemorragia subaracnoidea, no especificada","O15.0","Eclampsia en el embarazo","",null,"2","2","",null,"Directa","4","1","2025-04-16T05:00:00"," Paciente llega a HRD en estado crítico, con diagnóstico a descartar de Muerte Encefálica, producto de las convulsiones durante la gestación. durante la visita domiciliaria se evidencia dificultades en la APN debido a que HCL se encuentra desorganizada. no se hace seguimiento análisis de laboratorio, no se identifican signos de alarma ni factores de riesgo, además Visita domiciliaria es inefectiva debido que se realiza en su puesto de comida, día de la emergencia se queja de cefalea, esposo le brinda alcohol y paracetamol debido a que no sabia de signos de alarma pero nos relata cesárea por preeclampsia en embarazo anterior de hace 3 años, a los 40 minutos cefalea es mas intensa dio un grito y se desmayo, se afloja esfínteres y no reacciona familia demora 1 hora para referir debido a que estaba en segundo piso y no podían bajarla. En CPMMFYN se corrigen causas de fallecimiento y demoras la causa final es La herniación amigdalina resultado de hemorragia cerebral. se considera CUARTA DEMORA Porque EE.SS , en ningún momento identifico el factor de riesgo (preeclampsia severa en embarazo anterior) además no se brindó información relacionada a signos de alarma y tampoco se los evidenció a pesar de que ya presentaba edemas DESDE HACE UN MES APROX.","CELIA DAYANA ARAUJO DIAZ","RESPONSABLE DE VIGILANCIA DE MUERTE MATERNA","EN","","20258060101A101O9542AYDEOL1F","20-03-2025 00:13:22","26686434","21-07-2025 12:04:13","7DBCFB55BF2E46F637168A02B11207786A708FA8"]
["9479","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","7","GOBIERNO REGIONAL","00007686","BUSTAMANTE","CARUAJULCA","DEYSI","171","Peru","46913075","532145","33","1","Mestizo","",null,"","","","","4","3","COMERCIANTE","1","","JIRON","LOS OLIVOS","553",null,"","","","","06","CAJAMARCA","0601","CAJAMARCA","060101","CAJAMARCA","2025","27","2025-07-02T05:00:00","15:03","06","CAJAMARCA","0601","CAJAMARCA","060101","CAJAMARCA","3","2","26","1","","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","II-2","2025-06-21T05:00:00","09:17","1","","1","","","","","","","","","","","","","","","","","2","1","0","1","1","0","1","12","0","2","9","","1","3T","2","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","II-2","2","0","2","0","","1","13","PURPURA TROMBOCITOPENICA","9","PLAQUETOPENIA, DESPRENDIMIENTO DE RETINA BILATERAL","9","PLAQUETOPENIA, DESPRENDIMIENTO DE RETINA BILATERAL",null,"0",null,"",null,"","","","",{"$nulls":4},"",null,"","","",{"$nulls":5},"0","","1","1","2","","1","1","2025-06-24T05:00:00","2","","2","2","1","","1","1","2","2","I74.9","Embolia y trombosis de arteria no especificada","",null,"M31.1","Microangiopatia trombotica","O14.1","Preeclampsia severa","9","2","",null,"Indirecta","1","1","2025-07-15T05:00:00","PACIENTE NO FUE CAPTADA POR EE.SS. DEL MINSA, domicilio a 10 min NUNCA RECIBIÓ VISITAS DOMICILIARIAS, FUE ATENDIDA EN CONSULTORIO PARTICULAR \"MAIASON DE LA FEMME\" EL MISMO QUE NO FIGURA REGISTRO EN EL APLICATIVO. DESDE SU INGRESO AL HOSPITAL PRESENTÓ PLAQUETOPENIA, ADEMAS DE PRESENTAR DURANTE EL PARTO UN DESPRENDIMIENTO DE RETINA. SE ESTUVO COORDINANDO LA REFERENCIA A UN HOSPITAL DE MAYOR COMPLEJIDAD.","CELIA DAYANA ARAUJO DIAZ","RESPONSABLE DE VIGILANCIA DE MUERTE MATERNA","EN","","202527060101A101O9533BUCADE1F","19-07-2025 13:36:44","45493921","20-08-2025 11:51:46","6DF0383345A486A14E2259B57C9AA13553E107B4"]
["6211","35","CAJAMARCA","05","CAJABAMBA","01","CAJABAMBA","060201A101","DE APOYO CAJABAMBA","7","GOBIERNO REGIONAL","00004511","ROMERO","VILLAR","MARIA","171","Peru","26958312","","46","1","Mestizo","",null,"","","","","2","3","AMA DE CASA","1","",null,"OGOSGON VISTA ALEGRE",{"$nulls":6},"06","CAJAMARCA","0602","CAJABAMBA","060203","CONDEBAMBA","2021","50","2021-12-12T05:00:00","00:02","06","CAJAMARCA","0602","CAJABAMBA","060201","CAJABAMBA","3","1","32","6","DISTRITO DE LLACANORA - LLIMBE","35","CAJAMARCA","02","CAJAMARCA","00","NO PERTENECE A NINGUNA MICRORED","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","II-2","2021-12-11T05:00:00","16:30","3","","","","","","","","","","","","","","","","","","1","8","8","0","0","8","1","8","2","0",null,"9","","2","","0","",null,"","2","0","2","","","1","2","","9","HELLP Y DESPRENDIMIENTO PREMATURO DE PLACENTA","9","HELLP Y CHOQUE HIPOVOLEMICO","1","0","2021-12-11T05:00:00","16:30","2021-12-11T05:00:00","21:30","1","","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101",null,"","1","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","3",null,"1","1",null,null,"2","2","2021-12-11T05:00:00","2","","2",null,"1","","1","1","2","2","O75.1","Choque durante o despues del trabajo de parto y el parto","O14.2","Sindrome hellp","O14.1","Preeclampsia severa","O45.8","Otros desprendimientos prematuros de la placenta","2","2","",null,"Directa",null,"",null,"PACIENTE CON EMBARAZO OCULTO, PERSONAL LA ENCUENTRA CON P.a 220/ 160MMHG SE APLICA CLAVE AZUL Y REFIERE A HOSP. CAJABAMBA, LLEGA PALIDA, SE LE REALIZA ANALISIS DE LABORATORIO Y SE REALIZA CESAREA, ENCONTRANDOSE, GINGIBORRAGIA, PETEQUIAS, ANASARCA, LIQUIDO LIBRE SEROSO EN CAVIDAD PERITONEAL Y A LA INCISION UTERINA, SANGRADO CON COAGULOS, FETO OBITADO, DPP3/4 DE PLACENTA, SE COORDINA CON hrd PARA REFERENCIA, NO SE TRANSFUNDE SANGRE POR NO CONTAR CON BANCO DE SANGRE","NEIL ANDDREE CABELLOS CALDERON","MEDICO GENERAL","MG","","202150060201A101O9546ROVIMA1F","13-12-2021 12:43:07","26686434","14-12-2021 09:56:22","64D4EEE99191FFFDACECB8B356705C935BB0CFBF"]
["9030","35","CAJAMARCA","03","CELENDIN","02","MIGUEL IGLESIAS","060302A302","RAMBRAN","7","GOBIERNO REGIONAL","00006759","MEDRANO","MAYTA","SEVERINA","171","Peru","48650064","ram-61-2","44","1","Mestizo","",null,"","","","","7","3","AMA DE CASA","1","",null,"RAMBRAN","","CENTRO POBLADO","","","","","06","CAJAMARCA","0603","CELENDIN","060302","CHUMUCH","2024","39","2024-09-28T05:00:00","04:30","06","CAJAMARCA","0603","CELENDIN","060302","CHUMUCH","2","","36","1","","35","CAJAMARCA","03","CELENDIN","02","MIGUEL IGLESIAS","060302A302","RAMBRAN","I-1","2024-09-28T05:00:00","02:10","5","","1","","","","","","","","","","","","","","","","","4","4","0","0","4","0","4","7","4",null,"3","","1","2T","8","060302A302","RAMBRAN","I-1","1","2","2","","","2","","","","","","","2","0",null,"",null,"","","","",{"$nulls":4},"",null,"","","",{"$nulls":5},"0",null,"2","0",null,null,"2","2","2024-09-27T05:00:00","1","","1",null,"10","SUEGRA","1","1","1","1","R57.1","Choque hipovolemico","O67.9","Hemorragia intraparto, no especificada","O71.2","Inversion del utero, postparto","",null,"1","2","",null,"Directa",null,"",null,"ESPOSO CON PROBLEMAS JUDICIALES","SARITA MAGALY OYARCE ORTIZ","COORD. EPIDEMIOLOGIA DE RED DE SALUD CELENDÍN","EN","","202439060302A302O9544MEMASE1F","02-10-2024 12:38:11","46080872","02-10-2024 12:48:20","BFA774C0B8134BB356A45F9408EFD7DA85C50947"]
["5259","35","CAJAMARCA","04","SAN MARCOS","01","SAN MARCOS","061001A201","SAN MARCOS","7","GOBIERNO REGIONAL","00004501","AGUILAR ","ABANTO","ANDREA","171","Peru","47724883","28-990","32","1","Mestizo","",null,"","","","","7","3","SU CASA","1","",null,"JR. ESPINAR 215",{"$nulls":6},"06","CAJAMARCA","0610","SAN MARCOS","061001","PEDRO GALVEZ","2021","1","2021-01-08T05:00:00","07:20","06","CAJAMARCA","0610","SAN MARCOS","061001","PEDRO GALVEZ","1","","32","6","CHACRA A TRES CUADRAS DE SU DOMICILIO-PEDRO GALVEZ","35","CAJAMARCA","04","SAN MARCOS","01","SAN MARCOS","061001A201","SAN MARCOS","I-4",null,"","","","","","","","","","","","","","","1","","","","","","2","2","0","0","2","0","2","7","8",null,"9","","1","3T","4","061001A201","SAN MARCOS","I-4","1","3","2","","","2","","","","","","","2","0",null,"",null,"","","","",{"$nulls":4},"",null,"","","",{"$nulls":5},"0",null,"2","0",null,null,"2","2",null,"","","",null,"","","1","1","1","2","R57.1","Choque hipovolemico","T06.1","Traumatismos de nervios y medula espinal que afectan otras multiples regiones del cuerpo","W14.0","Caida desde un arbol, vivienda","",null,"8","1","",null,"Incidental",null,"",null,"fue a jalar Huabas para invitar a su familia de visita y se cayo no avisaron al ee.ss porque pensaron que se iba a recuperar, pero vecino y prima alerto a la familia, cuando decidieron llevarla fallecio.","HELENA CARMONA LLICO","VEA SAN MARCOS","EN","","20211061001A201O9632AGABAN1F","19-02-2021 09:51:51","26686434","28-12-2021 15:39:12","2FA918169803D3FB45BB61A81256D00B101741EE"]
["6724","35","CAJAMARCA","09","CHOTA","01","PATRONA DE CHOTA","060401A101","HOSPITAL JOSE H. SOTO CADENILLAS - CHOTA","7","GOBIERNO REGIONAL","00004659","DIAZ","LATORRE","BRENDA MARYORI","171","Peru","48701461","48701461","26","1","Mestizo","0",null,"","","","","4","3","SU CASA","1","",null,"PSJ. MARIO DIAZ SOBRADO 165 CHOTA",{"$nulls":6},"06","CAJAMARCA","0604","CHOTA","060401","CHOTA","2022","13","2022-03-31T05:00:00","03:32","06","CAJAMARCA","0604","CHOTA","060401","CHOTA","3","1","40","1","","35","CAJAMARCA","09","CHOTA","01","PATRONA DE CHOTA","060401A101","HOSPITAL JOSE H. SOTO CADENILLAS - CHOTA","II-1","2022-03-30T05:00:00","10:50","5","","1","","","","","","","","","","","","","","","","","1","1","1","0","1","0","1","8","0",null,"9","","1","1T","9","060401A101","HOSPITAL JOSE H. SOTO CADENILLAS - CHOTA","II-1","2","0","1","5","","1","","","9","OLIGOHIDRAMNIOS","1","","2","0",null,"",null,"","","","",{"$nulls":4},"",null,"","","",{"$nulls":5},"0",null,"1","1",null,null,"1","0","2022-03-30T05:00:00","2","","1",null,"5","","0","0","0","0","R57.1","Choque hipovolemico","",null,"O62.2","Otras inercias uterinas","",null,"1","1","R57.1","Choque hipovolemico","Directa",null,"",null,"POSTERIOR AL PARTO, LA PACIENTE PRESENTO UN CUADRO DE HEMORRAGIA","NOE CIEZA OBLITAS","RESP. EPIDEMIOLOGIA HOSPITAL JSC","EN","","202213060401A101O9526DILABRF","25-05-2022 16:59:19","16733010",null,"EAC2EC3B985A86BFC65B44F3804E2280BC30FB91"]
["9229","35","CAJAMARCA","09","CHOTA","01","PATRONA DE CHOTA","060401A101","HOSPITAL JOSE H. SOTO CADENILLAS - CHOTA","7","GOBIERNO REGIONAL","00004659","HUAMAN","LOPEZ","MARIA HORTENCIA","171","Peru","43863492","43863492","38","1","Mestizo",null,null,"","","","","2","3","ARTESANA","1","","OTROS","AGOMARCA BAJO","",null,"","","","","06","CAJAMARCA","0607","HUALGAYOC","060701","BAMBAMARCA","2024","49","2024-12-04T05:00:00","07:45","06","CAJAMARCA","0604","CHOTA","060401","CHOTA","3","1","35","1","","35","CAJAMARCA","09","CHOTA","01","PATRONA DE CHOTA","060401A101","HOSPITAL JOSE H. SOTO CADENILLAS - CHOTA","II-1","2024-12-04T05:00:00","03:20","5","","1","","","","","","","","","","","","","","","","","3","2","0","1","1","1","1","2","4",null,"9","","1","1T","3","060701A206","C.S. VIRGEN DEL CARMEN","I-3","1","2","2","","","1","","","8","","","","1","1","2024-12-03T05:00:00","23:23","2024-12-04T05:00:00","02:50","5","","060701A101","HOSPITAL BAMBAMARCA - TITO VILLAR CABEZAS","CAJAMARCA","HUALGAYOC","BAMBAMARCA","060701","2024-12-04T05:00:00","03:20","1","060401A101","HOSPITAL JOSE H. SOTO CADENILLAS - CHOTA","CAJAMARCA","CHOTA","CHOTA","060401","30",null,"1","1",null,null,"1","2","2024-12-03T05:00:00","2","","2",null,"1","","2","1","2","1","R57.1","Choque hipovolemico","O82.1","Parto por cesarea de emergencia","P03.1","Feto y recien nacido afectados por otra presentacion anomala, posicion anomala y desproporcion durante el trabajo de parto y el parto","O66.2","Trabajo de parto obstruido debido a distocia por feto inusualmente grande","1","2","",null,"Directa",null,"",null,"","ROCIO DEL PILAR SALDAÑA GONZALES","RESP. EPIDEMIOLOGIA RED HUALGAYOC-BAMBAMARCA","EN","","202449060401A101O9538HULOMAF","27-01-2025 11:43:09","16733010",null,"42FF9FBF4A05BC2F5F59D80C332067540A074335"]
["5322","35","CAJAMARCA","12","JAEN","12","SAN FELIPE","060810A302","P.S. PIQUIJACA","7","GOBIERNO REGIONAL","00004255","SANTOS","TINEO","GRISELDA","171","Peru","44149802","29.37.2","34","1","Mestizo","",null,"","","","","2","3","AMA DE CASA","1","",null,"ANEXO EL HUAYAL",{"$nulls":6},"06","CAJAMARCA","0608","JAEN","060810","SAN FELIPE","2021","8","2021-02-21T05:00:00","06:30","06","CAJAMARCA","0608","JAEN","060810","SAN FELIPE","3","1","40","1","","35","CAJAMARCA","12","JAEN","12","SAN FELIPE","060810A302","P.S. PIQUIJACA","I-2","2021-02-20T05:00:00","17:30","3","","1","","","","","","","","","","","","","","","","","3","3","0","0","3","0","3","12","0",null,"3","","1","1T","8","060810A302","P.S. PIQUIJACA","I-2","1","3","1","3","","1","12","","","","2","","2","0",null,"",null,"","","","",{"$nulls":4},"",null,"","","",{"$nulls":5},"0",null,"2","0",null,null,"2","2","2021-02-21T05:00:00","2","","1",null,"3","","2","2","2","1","R57.1","Choque hipovolemico","N93.8","Otras hemorragias uterinas o vaginales anormales especificadas","O72.1","Otras hemorragias postparto inmediatas","",null,"1","2","",null,"Directa",null,"",null,"","MIGUEL ANGEL MONTENEGRO LOPEZ","RESPONSABLE DE EPIDEMIOLOGIA","EN","","20218060810A302O9534SATIGR1F","02-03-2021 08:42:36","42472006",null,"8D40F563747E15CB1D428285A57BC78A8BFA7601"]
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["8585","35","CAJAMARCA","04","SAN MARCOS","03","JOSE SABOGAL","061007A306","HUAGAL","7","GOBIERNO REGIONAL","00004495","PASTOR","HONORIO","MELISA YOSMEL","171","Peru","60040103","6-17-2","17","1","Mestizo","",null,"","","","","2","3","AMA DE CASA","1","","CAMINO","EL INFIERNILLO - C.P HUAGAL ","",null,"","","","","06","CAJAMARCA","0610","SAN MARCOS","061007","JOSE SABOGAL","2024","15","2024-04-08T05:00:00","09:40","06","CAJAMARCA","0610","SAN MARCOS","061007","JOSE SABOGAL","1","","39","8","",{"$nulls":10},"","1","","1","","","","","","","","","","","","","","","","","0","0","0","0","0","0","0","0","0",null,"9","","1","2T","6","061007A306","HUAGAL","","1","2","1","5","","1","2","","","","","","1","0","2024-04-08T05:00:00","06:06","2024-04-08T05:00:00","06:20","3","","061007A201","JOSE SABOGAL","CAJAMARCA","SAN MARCOS","JOSE SABOGAL","061007","2024-04-08T05:00:00","09:26","1","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","3",null,"2","0",null,null,"2","2",null,"","","5",null,"","","1","1","1","1","I61.2","Hemorragia intracerebral en hemisferio, no especificada","O14.2","Sindrome hellp","O15.1","Eclampsia durante el trabajo de parto","D65.X","Coagulacion intravascular diseminada [sindrome de desfibrinacion]","2","1","I61.2","Hemorragia intracerebral en hemisferio, no especificada","Directa",null,"",null,"PREECLAMPSIA SE MANIFESTO DESDE LA APN PERO NO SE LE DIO IMPORTANCIA PERSONAL MINIMIZÓ SINTOMATOLOGÍA","ROCIO MARCHAN RONDOY","COORDINADORA","OB","","202415061007A306O9517PAHOME11F","06-05-2024 10:09:28","26686434","18-06-2024 10:06:14","74511938F203E7EFF40FCB7B780507DE20AC0E4C"]
["8810","35","CAJAMARCA","04","SAN MARCOS","03","JOSE SABOGAL","061007A201","JOSE SABOGAL","7","GOBIERNO REGIONAL","00004500","CABRERA","FLORES","MARIA MARGARITA","171","Peru","47642754","2-75-2","37","1","Mestizo","",null,"","","","","1","2","ama de casa","1","",null,"","","CENTRO POBLADO","MALAT","","","","06","CAJAMARCA","0610","SAN MARCOS","061007","JOSE SABOGAL","2024","26","2024-06-24T05:00:00","13:25","06","CAJAMARCA","0610","SAN MARCOS","061007","JOSE SABOGAL","2","","0","8","",{"$nulls":10},"","3","","1","","","","","","","","","","","","","","","","","2","2","0","0","2","0","2","10","0",null,"3","","1","1T","10","061007A304","MALAT","","1","2","1","5","","1","5","","9","retencion placentaria","","","1","2","2024-06-24T05:00:00","12:00","2024-06-24T05:00:00","12:20","3","","061007A201","JOSE SABOGAL","CAJAMARCA","SAN MARCOS","JOSE SABOGAL","061007",null,"","1","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","4",null,"2","0",null,null,"2","2","2024-06-24T05:00:00","1","","1",null,"9","","1","2","1","1","R57.1","Choque hipovolemico","O72.0","Hemorragia del tercer periodo del parto","O71.2","Inversion del utero, postparto","",null,"1","2","",null,"Directa",null,"",null,"Debido a que personal minimizó contracciones uterinas porque las había presentado por un mes, familia no reconoce signos de inicio de trabajo de parto, además deciden parto domiciliario debido a esto no avisaron a personal de salud, a las 9:50 según familiares, se produce parto de RN, pero con circular de cordón, por la que la hacen pararse para desenredarlo y se rompe el cordón, al poco tiempo\" minutos\", ellos evidencian sangrado y palidez marcada, por lo que llaman al personal de salud a las 10:08am, enfermera esta en comunidad acude pero no la dejen examinarla, cuando llega obstetra con camioneta,10:35 observa palidez marcada, el abdomen esta blando no logra identificar fondo uterino, genitales: se evidencia en orificio vaginal placenta la cual se encuentra adherida y una porción que da la impresión  de ser cotiledón,, por la que se trata de estabilizar y referir comunicando a C.S Jose Sabogal para el encuentro, solo se logra canalizar una vía,  así que es débil el manejo de fluidos, igual sucede con José Sabogal y fallece paciente en trayecto a San Marcos a las 13:25 horas","rocio marchan rondoy","coordinadora de epidemiologia","OB","","202426061007A201O9537CAFLMA1F","02-07-2024 15:51:58","26686434","21-08-2024 08:35:05","565524B31C5140AF01B0C192024A7DB6EDA94A66"]
["8888","35","CAJAMARCA","04","SAN MARCOS","03","JOSE SABOGAL","061007A305","LICLICONGA","7","GOBIERNO REGIONAL","00004498","SANCHEZ","ABANTO","SANTOS LUCILA","171","Peru","43823780","2-70-2","44","1","Mestizo","",null,"","","","","1","2","ama de casa","1","","OTROS","","","COMUNIDAD CAMPESINA","EL AMANTE","","","","06","CAJAMARCA","0610","SAN MARCOS","061007","JOSE SABOGAL","2024","30","2024-07-26T05:00:00","02:00","06","CAJAMARCA","0610","SAN MARCOS","061007","JOSE SABOGAL","3","3","0","7","",{"$nulls":10},"","9","","","","","","","","","","","","","","","","1","embarazo molar","","7","6","0","1","6","0","6","2","0",null,"1","","1","2T","6","061007A305","LICLICONGA","","1","2","1","5","","1","13","amenaza de parto pretermino","","","","","2","0",null,"",null,"","","","",{"$nulls":4},"",null,"","","",{"$nulls":5},"0",null,"1","1",null,null,"2","2","2024-07-04T05:00:00","2","","1",null,"5","","1","1","2","1","I64.X","Accidente vascular encefalico agudo, no especificado como hemorragico o isquemico","",null,"I62.9","Hemorragia intracraneal (no traumatica), no especificada","",null,"7","2","",null,"Indirecta",null,"",null,"Puérpera de 22 días con cefalea crónica desde el año 2022( pos embarazo molar), 4 días antes al deceso manifiesta dolor intenso de cabeza que no calma con pastillas de paracetamol, el día de fallecimiento se costó, esposo observó perdida de conciencia y ronquido luego falleció al cabo de 1 Hora.","rocio del pilar marchan rondoy","coordinadora epidemiologia","OB","","202430061007A201O9644SAABSA1F","07-08-2024 16:23:13","26686434","08-04-2025 15:17:02","B7AACD52B000EE61C8121BB26B08162C70D582BA"]
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["8549","35","CAJAMARCA","05","CAJABAMBA","01","CAJABAMBA","060201A101","DE APOYO CAJABAMBA","7","GOBIERNO REGIONAL","00004511","LEZMA","IZQUIERDO","MARIA AURORA","171","Peru","45143525","45143525","36","1","Mestizo","",null,"","","","","1","3","COCINERA","1","",null,"POMARONGO -  SAN MARCOS",{"$nulls":6},"06","CAJAMARCA","0610","SAN MARCOS","061002","CHANCAY","2024","13","2024-03-27T05:00:00","22:54","06","CAJAMARCA","0602","CAJABAMBA","060201","CAJABAMBA","1","","20","8","",{"$nulls":10},"","1","","","","","","","","","","","","","","","","1","violencia familiar-sexual","","3","3","0","0","3","0","3","5","0",null,"9","","2","","0","",null,"","2","0","2","","","0","","","","","","","1","1","2024-03-27T05:00:00","20:15","2024-03-27T05:00:00","22:00","1","","060201A101","DE APOYO CAJABAMBA","CAJAMARCA","CAJABAMBA","CAJABAMBA","060201",null,"","1","060101A101","HOSPITAL REGIONAL DOCENTE CAJAMARCA","CAJAMARCA","CAJAMARCA","CAJAMARCA","060101","3",null,"2","0",null,null,"2","2","2024-03-17T05:00:00","1","","1",null,"0","","1","1","1","1","R57.2","Choque septico","O85.X","Sepsis puerperal","O05.0","Otro aborto incompleto, complicado con infeccion genital y pelviana","Y06.0","Negligencia y abandono por esposo o pareja","3","2","",null,"Directa",null,"",null,"paciente con antecedente de violencia sexual, estaba separada del esposo, el la lleva a realizarse un aborto provocado, hija de 14 años evidencia el aborto en domicilio con 2 niños, avisa a su profesora pero ella no comunica al EE.SS, con el tiempo su madre va empeorando, pero no recibe atención al deceso hija mayor que estaba en Lima declara que su padre la había violado, caso se comunicó a fiscalía","MARY SILVIA TORIBIO MORENO","COORD. EPIDEMIOLOGÍA DE LA RED DE SALUD CAJABAMBA","EN","","202413060201A101O9536LEIZMA1F","11-04-2024 09:55:32","26686434","02-08-2024 09:25:29","8219816A20F70B6225FF085713B237C79F402988"]
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