CAJ | 학술논문

目的探讨危重新生儿外科疾病的转运模式.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,乘新生儿专用转运救护车前往接诊,实施现场急救、途中救护及院内治疗.结果 772例危重新生儿外科疾病患儿转运至本院NICU,转运成功率为98%;全部转诊病人中,646例得到治疗,治愈599例,治愈率为93%,放弃治疗126例,死亡47例,占总转运人数22%.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.
목적 탐토위중신생인외과질병적전운모식.방법 성립전운중심,설24h전선전화,재접도전운전화후유신생인외과의호인원각1～2명,승신생인전용전운구호차전왕접진,실시현장급구、도중구호급원내치료.결과 772례위중신생인외과질병환인전운지본원NICU,전운성공솔위98%;전부전진병인중,646례득도치료,치유599례,치유솔위93%,방기치료126례,사망47례,점총전운인수22%.결론 신생인외과전운유리우강저위산인、신생인사망솔급후유증적발생솔,전운도중감호여급구、은정환인병정시위중신생인외과질병환인전운성공적보증.
Objective To discuss the pattern and methods for critical surgical newborn transportation. Methods 772 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 772 cases with transportation for critical surgical newborn, success of transportation is 98%,and 646 cases were be treated.and 599 cases were cure. There were 22% in 772 cases.and cure rate is 93%,with 126 cases abandonment,47 cases death.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.