早产儿转运方式探讨

Investigation of Transport Procedure for Premature

目的 通过近年早产儿转运方式的变化以及转运对早产儿的影响，探讨对早产儿安全最有利的转运方式。 方法 考察１９９４ ～１９９７ 年５７６ 例早产儿中胎内转运率和生后转运率的变化，比较两种方式下的早产儿死亡率，分析死亡原因，检讨目前转运工作中存在的问题。 结果 胎内转运率逐年大幅度提高。胎内转运死亡率低于生后转运死亡率。胎内转运死亡原因主要是极低体重儿各脏器功能极不成熟且伴有严重并发症；生后转运死亡原因主要是肺出血和感染。 结论 围产儿胎内转运优于生后转运。

Objective To investigate the changing trend of the transport mode of premature and the impacts of different modes to the premature infants, and to study how to improve the transport operations for premature. Methods The trend of neonatal transport converted to maternal transport was accounted for total 576 cases of premature transport from 1994 to 1997, the premature mortality rates related with two modes were compared, the causes of 27 death cases were analyzed, and the defect of current premature transport system was examined. Results The rate of maternal transport was raising obviously in recent years. The premature mortality rate of maternal transport was lower than that of neonatal transport. Underdeveloped organs and serious complications were the main causes of death in maternal transport mode; pulmonary hemorrhage and infection were the main causes of death in neonatal transport mode. Conclusion Maternal transport is better than neonatal transport for premature. Based on the modern science, a perfect premature transport system should be established.