危重新生儿长三角一体化转运的实践与思考

Practice and reflection on the integrated transport of critically ill newborns in the Yangtze River Delta

目的总结分析长三角地区危重新生儿转运工作。方法回顾分析2016年至2019年上海交通大学医学院附属新华医院在长三角地区危重新生儿的转运及转归情况。结果共转运3508例新生儿,其中转运危重新生儿居前3位的分别为先天性心脏病、新生儿肺炎和新生儿黄疸;转运新生儿中痊愈2.48%,好转90.13%,自动出院6.7%,死亡0.68%。结论长三角地区危重新生儿转运亟需建立一体化协作网络。

Objective To summarize and analyze the transport of critically ill newborns in the Yangtze River Delta.Methods The general data and outcome of critically ill newborns transported from Yangtze River Delta region to Xinhua Hospital affiliated to Shanghai Jiao Tong University School of Medicine from 2016 to 2019 were analyzed retrospectively.Results A total of 3508 critically ill newborns were transported and the top three diagnosed diseases were congenital heart disease,neonatal pneumonia and neonatal jaundice.Among the newborns transported,recovery accounted for 2.48%,improvement for 90.13%,automatic discharge for 6.7%,and death for 0.68%.Conclusion There is an urgent need to establish an integrated collaborative network for the transport of critically ill newborns in the Yangtze River Delta.