147例危重新生儿转运的临床分析

Clinical analysis of 147 cases of transportion of critical neonate

目的探讨危重新生儿转运工作的意义。方法回顾性分析2012年1月1日-2014年8月31日北京市西城区展览路医院通过单程或双程转运方式转运的危重新生儿的过程、病种及转归。结果自2012年开展危重新生儿转运工作以来,本院共转运危重新生儿147例,转运途中无1例死亡,入院后经三级医院医护人员的积极抢救,仅1例死亡,抢救成功率达99.32%。转运新生儿占同期分娩新生儿总数的8.28%。转运病种排列前4位的是：早产儿占32.0%、呼吸系统疾病占29.9%、新生儿病理性黄疸占16.3%、新生儿窒息占13.6%。结论危重新生儿转运工作能有效地降低新生儿死亡率,减少伤残和改善预后。

Objective To discuss the significance of transportion work of the critical neonate. Methods The process, disease and outcome of the of the critical neonate transported either single or double process transportion from January 2012 to August 2014 in Beijing Zhanlanlu Hospital were retrospectively analyized. Results 147 cases of the critical neonate were transported since 2012 when the critical neonatal transfer program were carried out in our hospital.And the mortality rate on the way of transport was 0.After admission,the neonate were actively rescued by medical staff of three grade hospital,one of them died,the success rate of rescuing was 99.32% .The neonate transported account for 8.28% of the newborns during the same term.The top four disease of the trnsportion of critical neonatal was preterm in- fant（32.0%）,respiratory disease （39.9%）,newborn pathological jaundice （16.3%）,and neonatal asphyxia （13.6%） respec- tively. Conclusion The transportion of critical neonate can effectively reduce neonatal mortality and disability and to improve the prognosis of neonate.