【摘要】 目的通过回顾性分析我院接诊转运的257例危重新生儿外科疾病患儿的病例资料,探讨危重新生儿外科疾病的转运模式及方法。方法成立转运中心,设24h专线电话,在接到转运电话后,由新生儿外科医护人员各1￣2名,乘新生儿专用救护车前往接诊,实施途中监护,开展现场急救。结果257例危重新生儿外科疾病患儿转运至本院NICU时,病情稳定252例,病情加重5例,无途中及接回2h内死亡病例,转运成功率为100%;全部转诊病人中,212例痊愈出院,治愈率为82%;死亡18例,放弃27例,占转运人数的8%。结论新生儿外科转运有利于降低围产儿、新生儿死亡率及后遗症的发生率,转运途中监护与急救、稳定患儿病情是危重新生儿外科疾病患儿转运成功的保证。更多还原

【Abstract】 Objective To discuss the pattern and methods for critical surgical newborn transportation. Methods 257 cases of critical newborn were transported to NICU of our hospital by special ambulance accompied with pediatric doctor and nurse, at the same time the critical newborn was continual monitored and emergency on the spot in the transporting way, their clinical data were retrospectively analyzed. Results In 257 cases with transportation for critical surgical newborn,5 cases of them were deteriorative when they were transported to NICU of our hospital, no case of death from in passage to the 2 hours of coming back ,18 cases with death, 27 cases being disclaimed, and the other 212 cases were cure,and discharge cure rate is 82%. Conclusions Transportation for critical surgical newborn is beneficial to depressing perinatal and newborn mortality,and preventing sequela frequency occurrence. It is important that proper emergent treatment of stabilizing patient’s condition should be adopted during transportation,its a guarantte of successful transportation of critical newborn,and can elevate diagnostic level of neonate surgery of basic medical staff.更多还原