区域性危重新生儿转运系统建立的意义

Establishment of Critical Neonatal Emergency Transport System and Its Clinical Significance

目的 探讨建立区域性危重新生儿转运系统的意义。方法3年来危重新生儿转运系统共转运新生儿1462例，其中早产儿533例，足月儿929例；出生体质量850～1500g164例，1500-2500g276例，2500-4000g948例，4000-4500g74例；病种以新生儿窒息和新生儿肺炎为主。结果转诊人数逐年增多，2002年7月-2003年6月转诊271例，2003年7月-2004年6月转诊460例，2004年7月-2005年6月转诊731例，无1例在转运途中死亡，治愈1352例（治愈率92．5％），放弃治疗75例（占7．1％），死亡35例（占2．4％）。结论建立区域性危重新生儿转运系统是降低新生儿死亡率、减少伤残及改善患儿预后的重要措施。

Objective To evaluate the clinical significance of establishment of regional critical neonatal emergency transport system （NETS）. Methods The NETS covered 29 hospitals in this area, 1462 critical newborn infants were transported through it from July 2002 to June 2005,including 533 premature infants,929 term infants; 164 babies with birth weight 850-1500 g,276 babies with birth weight 1500 - 2500 g,948 babies with birth weight 2500-4000 g,74 babies with birth weight 4000-4500 g;most babies with asphyxia and pneumonia. Results The number of neonatal transport was increasing, the number of neonatal transport was 271 from July 2002 to June 2003, the number of neonatal transport was 460 form July 2003 to June 2004, and the nonaber of nenatal transport was 731 from July 2004 to June 2005, there was a mortality of 0 on the road, 1352 recurred （92.5 % ）, 75 abandoned （7.1% ） and 35 died （2.4 % ） in total 1462 infants. Conclusions NETS is an important measure to reduce mortality rate, decrease disability and improve prognosis of newhorn infants. It is recommended that the mother is transfered to hospital with perinatal centers containing a technologically well-equipped neonatal intensive care unit before delivery of a high risk infant for reducing maternal and neonatal mortality rate.