紫绀型先天性心脏病患儿院际转运145例临床分析

Clinical analysis of interhospital transport for 145 children with cyanotic congenital heart disease

目的分析院际转运紫绀型先天性心脏病患儿中的流行病学特征,评价院际转运在患儿救治过程中的作用及效果。方法回顾性分析2016年1月—2019年12月我院院际转运的145例紫绀型先天性心脏病患儿的性别、年龄、体质量、生命体征、转运期间检测指标、支持治疗等资料。结果145例紫绀型先天性心脏病男105例,女40例,73.1%(106/145)的转诊患儿是新生儿,59.3%(86/145)的转诊患儿来自三级医院,55.9%(81/145)的转诊患儿转诊距离在200 km以上,仅有10.3%(15/145)的转诊患儿转诊距离在50 km以内。转诊过程中44.1%(64/145)的患儿给予呼吸机辅助通气,33.1%(48/145)的患儿给予吸氧处理,仅22.1%(32/145)的患儿无需呼吸支持,所有患儿安全转运到接诊医院,入院后138例接受外科手术治疗手术康复,7例放弃治疗。结论安全、有效的院际转运紫绀型先天性心脏病是救治的关键环节,为紫绀型先天性心脏病的救治提供前提。

Objective To analyzed the epidemiological characteristics of interhospital transport of cyanotic congenital heart disease in children and evaluate the effect of interhospital transport on treatment.Methods 145 children with cyanotic congenital heart disease from January 2016 to December 2019 transported in our hospital were analyzed retrospectively.Epidemiological data such as sex,age,weight,vital signs,detection indexes during transport and supportive treatment were collected.Results Among 145 children with cyanotic type of congenital heart disease there were 105 male,40 female.73.1%(106/145)children were newborn,59.3%(86/145)children were from tertiary hospitals,55.9%(81/145)children were transported over 200 km,only 10.3%(15/145)children were within 50 km.44.1%(64/145)were given assisted ventilation during transporting,33.1%(48/145)children were given oxygen treatment,only 22.1%(32/145)of the children did not need respiratory support.All children were transferred to the receiving hospital successfully.After admission,138 of them received surgical treatment successfully,and 7 of them gave up treatment.Conclusion Safe and effective interhospital transport is the key to treating cyanotic congenital heart disease,which provides the basis for the treatment of cyanotic congenital heart disease.