CAJ | 학술논문

[目的]讨论危重新生儿院前网络转运的意义.[方法]建立以本院NICU为网络中心,以本市及周边地区共41家基层医院为成员单位的区域性危重新生儿院前网络转运系统,对转运新生儿例数、病种分布、预后等临床资料进行分析.[结果]三年来转运911例危重新生儿,转运新生儿逐年增加(P<0.05),转运后放弃47例,死亡67例,病死率逐年降低(P<0.05).299例转运新生儿进行了转运前新生儿危重病例评分,其中非危重组68例,无死亡,危重组181例,死亡10例,病死率5.52%,极危重组50例,死亡8例,病死率16%.评分病情越重,病死率越高,差异有统计学意义(P<0.01～0.05).[结论]建立完善的网络转运系统,掌握转运指征和及时转运,对保证危重新生儿转运救治成功率,降低病死率有重要意义.
[목적]토론위중신생인원전망락전운적의의.[방법]건립이본원NICU위망락중심,이본시급주변지구공41가기층의원위성원단위적구역성위중신생인원전망락전운계통,대전운신생인례수、병충분포、예후등림상자료진행분석.[결과]삼년래전운911례위중신생인,전운신생인축년증가(P<0.05),전운후방기47례,사망67례,병사솔축년강저(P<0.05).299례전운신생인진행료전운전신생인위중병례평분,기중비위중조68례,무사망,위중조181례,사망10례,병사솔5.52%,겁위중조50례,사망8례,병사솔16%.평분병정월중,병사솔월고,차이유통계학의의(P<0.01～0.05).[결론]건립완선적망락전운계통,장악전운지정화급시전운,대보증위중신생인전운구치성공솔,강저병사솔유중요의의.
[Objective]To explore the meanings of critical neonatal network transport before the hospital. [Methods] Regional critical neonatal network transport system before hospital consisting of NICU in our hospital as network center and 41 primary hospitals around our city as member units were established. The clinical data such as the number of neonatal transport, the distribution of diseases and prognosis were analyzed. [Results] A total of 911 cases for 3 years were transported. The number of transport cases increased year by year (P<0.05). After transportation, 47 cases abandoned and 67 cases died. The mortality decreased year by year (P<0.05). The severity of 299 cases was scored before transport. Among them, 68 cases were uncritical which no one died, and 181 cases were critical which 10 cases died and the mortality was 5.52%, and 50 cases were very critical which 8 cases died and the mortality was 16%. The more serious the condition was, the higher the mortality was. The difference has statistical significance (P<0.01～0.05). [Conclusion]To establish perfect network transport system, to master the signs of transport neonatal and to promptly transport critical newborn infants are very important to ensure the successful transport and decrease the mortality.