危重早产儿转运与结局临床分析

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1、危重早产儿转运与结局临床分析【摘要】目的探讨危重新生儿转运系统(NETS)对危重早产儿转运过程的影响及预后的相关性，提高早产儿的生存质量，降低早产儿的病死率和伤残率。方法对转运的早产儿461例临床资料进行分析。结果不同等级医院转诊早产儿预后不同，市级医院转诊早产儿预后好，放弃治疗及病死率为0.55%,乡镇卫生院转诊早产儿预后差，放弃治疗及病死率为20.69%,转运时间早的预后好，W24h放弃治疗及治疗及病死率为1.12%,转运时间晚的预后差，>24h放弃治疗及病死率为9.37%(P<0.01)o结论院前急救及掌握好转运指征及转运时间是救治早产儿成功的关键，对降低

2、早产儿病死率有着重要意义。【关键词】婴儿，新生;病人转送;婴儿，早产TransportofthecriticalprematuresanditsoutcomeanalysisWEIQiu-fen,PANXin-nian,FANXin(MaternalandChildHealthHospitalofGuangxiZhuangAutonomousRegion,Nanning,Guangxi530003E-mail:weiqiufen@yahoo.com・cn)Abstract:ObjectiveTostudytheeffectsofneonatalemergency

3、transportsystem(NETS)onthetransportingprocessforthecriticalprematureandontheprognosissoastoraisethelifequalityoftheprematuresandtoreducetheirmortalityanddisabilityrates.MethodsAclinicalanalysisof461casesofcriticalprematurestransportedfromlocalhospitalstoourhospitalwasconducted.ResuIt

4、sTheoutcomesdifferedamong461casesofprematurestransferredfromhospitalsofdifferentlocation(themedicallevelsweredifferent)・Theprematurestransportedfromurbanhospitalscarriedagoodprognosiswhichtheabandoningtreatmentandmortalityratewas0.55%whilethosefromruralhospitalscarriedapoorprognosisw

5、hichtheabandoningtreatmentandmortalityratewas20.69%・Theearlierthetransporttimewas,thebettertheprognosiswas・Lessthan24hoursofthetransporttimeresultedina1.12%ofabandoningandmortalityrate・Whilethelaterthetransporttimewas,theworsetheprognosiswas,morethan24hoursofthetransporttimeresultedi

6、na9.37%ofabandoningandmortalityrate・Therewasstatisticallysignificantdifferenee(P<0.01).ConclusionPre-hospitalemergencycareandmasteringtransportindicationandtransporttimearethekeytosuccessfullysavingthelivesofprematures・，andit’salsoremarkablysignificanttoreducemortalityrateofpre

7、matures・Keywords:infant,newborn;patienttransport;infant,premature危重新生儿转运是新生儿急救医学的进一步发展，在国外，借助于雄厚的社会医疗保障基础，危重新生儿转运已形成了一个完整的体系即危重新生儿转运系统(newbornemergencytransportsystem,NETS),有着一套完整、严密、科学的管理模式。在发达国家，区域性危重新生儿转运系统已证明对保障母婴健康至关重要[1],目前我国北京、上海等大城市已相继建立了区域性危重新生儿转运网络[2],形成了具有一定规模和功能的转运系统。我院自2

8、005年以来，与省内各地