区域性危重新生儿主动型院前急救转运的应用及意义

Meaning and application for the active pre-hospital emergency transport about regional critically ill newborn

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 .