西宁地区严重消化道畸形出生后绿色通道模式的建立及其应用研究

Establish of green channel and its application for serve enteron malformation after birth in Xining district

目的探索建立青海省严重消化道畸形的早期诊断、抢救治疗网络,病情严重程度的评估标准,严重畸形的转运和小儿外科、NICU、麻醉科的配合抢救模式。方法对2009年12月31日—2010年12月31日转入本院的65例消化道畸形儿临床资料进行分析,对预后的相关因素进行χ2检验。结果由本院转运者手术条件好、预后好,基层医院和家长转运者预后较差。结论建立严重结构异常可靠的早期诊断技术和常规,成立以本院新生儿转运系统为主导的各级监测网络,是降低本地区严重消化道畸形病死率的关键。

Objective It is to explore the establishment of the evaluation criteria in Qinghai province concerning the early diagnosis of serious digestive tract deformity,emergency treatment network and the severity of the condition,the transfer of the server deformity and cooperative rescue mode among the department of pediatric surgery,NICU and anesthesia.Methods Clinical data of those 65 patients with digestive tract deformity transferred to our department from Dec.31 2009 to Dec.31 2010 was analyzed,and the prognostic factors were examined by χ2 exam.Results The patients transferred form our hospital had good surgical conditions and good prognosis,while the patients transferred from primary hospital or from the parents themselves didn＇t have ideal prognosis.Conclusion To establish early reliable diagnosis techniques and practice,based on the guidance of NICU from our hospital to establish a network monitoring at all level is a key to reduce the death rate in this region.