区域性危重新生儿主动型院前急救转运的应用及意义-东南大学学报医学版

区域性危重新生儿主动型院前急救转运的应用及意义

单位：苏州大学附属儿童医院新生儿科, 江苏苏州 215003

分类号：R722.1

出版年·卷·期（页码）：2014·33·第五期（612-615）

摘要：

目的：探讨我院建立主动型新生儿院前急救转运网络的意义。方法：用回顾性统计学分析的方法分析我科2009年6月到2012年4月转运的2 736例危重新生儿的临床资料。结果：所有患儿应用S.T.A.B.L.E项目评估稳定后转运，均顺利转运至我院新生儿重症监护病房（NICU），住院24 h内无一例死亡，所有病例中好转1 809例，治愈868例，自动出院41例，死亡6例，其他12例。结论：随着危重新生儿院前急救转运网络的发展健全，产儿科结合密切，与基层医院联系愈加紧密，病例资料及时反馈有助于下级单位医疗水平的提升，有利于成功转运、提高存活率、改善患儿预后。

Objective: To investigate the significance of the active pre-hospital emergency transport about regional critically ill newborn. Methods: The clinical data were retrospectively analyzed in 2 736 critically ill newborns, who were transported to NICU of Soochow University from June, 2009 to April, 2012. Results: S.T.A.B.L.E project evaluation were apply in all newborns who were transferred when stable, all were successfully transferred to our NICU, no one was died in hospital in the first 24 hour, 1 809 cases were improved, 868 examples were cured, 41 cases were discharged, 6 cases died. Conclusion: With the development of the net-work system of active pre-hospital emergency transport about regional critically ill newborn, the combine between obstetrical and pediatric is more closer, the contact with basic-level hospitals is also closer. Case information feedback in time is helpful for the ascension of level of basic-level hospitals. It is also conducive to successfully transfer, improve survival rate and the prognosis.

参考文献：

[1] 何廷佐.危重新生儿院前急救转运247例临床分析[J].中国社区医师.医学专业,2010,243(12):110.
[2] KING B R,KING T M,FOSTER R L,et al.Pediatric and neonatal transport teams with and without a physician:a comparison of outcomes and interventions[J].Semin Neonatol,2004,9(2):125-133.
[3] TREVISANUTO D,VERGHESE G,DOGLIONI N,et al.Laryngeal mask airway for the interhospital transport of neonates[J].Pediatrics,2005,115(1):E109-111.
[4] LEE S K,ZUPANEIC J A,SALE J,et al.Cost-effectiveness and choice of infant transport systems[J].Med Care,2002,40(8):705-716.
[5] HOOD J L,CROSS A,HULKA B,et al.Effectiveness of the neonatal transport team[J].Crit Care Med,1983,11:419-423.
[6] 孔祥永,高昕,尹晓娟,等.区域性综合主动型新生儿转运网络组织的应用研究[J].中华儿科杂志,2010,48(1):4-8.
[7] KEMPLEY S T,SINHA A K.Census of neonatal transfers in London and the South East of England[J].Arch Dis Child Fetal Neonatal Ed,2004,89(6):F521-526.
[8] 中华医学会儿科分会急诊学组,新生儿学组.新生儿危重病例评分法(草案)[J].中华儿科杂志,2001,39(1):42-43.
[9] 谢月娥,邓龙香.区域性危重新生儿院前转运网络的意义与实践[J].湘南学院学报:医学版,2009,11(2):12-14.
[10] SCHMÖLZER G M,O'REILLY M,CHEUNG P Y.Noninvasive monitoring during interhospital transport of newborn infants[J].Crit Care Res Pract,2013,2013:632474.
[11] 张爱梅,陈雪莉,刘明耀.区域性危重新生儿转运的进展[J].医学综述,2010,16(13):1998-2001.
[12] KING B R,WOODWARD G A.Procedural training for pediatric and neonatal transport nurses:part 2-procedures,skills assessment,and retention[J].Pediatr Emerg Care,2002,18(16):438-441.
[13] KASHANI K B,FARMER J C.The support of severe respiratory failure beyond the hospital and during transportation[J].Curr Opin Crit Care,2006,12(1):43-49.
[14] HUSSEY S G,ROBERTS N,NICHAN I,et al.Comparison of three manual ventilation devices using an intubated mannequin[J].Arch Dis Child Fetal Neonatal Ed,2004,89(6):F490-493.
[15] 刘萍,沈文丽,崔秀荣.危重新生儿院前转运148例分析[J].中国误诊学杂志,2008,34(8):8460-8461.
[16] MEBERG A L F,HANSEN T W.Neonatal transports-risks and opportunities[J].Pediatrics,2011,1:45-50.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录