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目的通过分析1825例危重新生儿转运的情况,总结经验,查找转运中存在的问题,提出改进措施。方法回顾性分析1825例转运新生儿胎龄、体重、日龄、疾病谱的分布以及转运成功率和转运失败的原因。结果①转运的早产儿占38.9%,足月儿占61.1%;②以早期新生儿为主占83.5%,3d内占65.3%;③转运的前3位疾病为呼吸窘迫综合症、肺炎并呼吸衰竭和败血症,占总转运的69.8%;④转运成功率为95.89%,转运病死率为1.04%;转运失败的原因有:病情重、转运晚、转运时处理不当等。结论以NICU为依托的新生儿转运系统是目前降低新生儿病死率的有效转运模式,备好转运设备,转运前认真评估及转运中密切病情观察是危重新生儿转运成功的关键。
Objective To analyze the situation of 1825 critically ill neonates, summarize the experience, find out the problems existing in the transport, and propose the improvement measures. Methods We retrospectively analyzed the distribution of 1895 cases of gestational age, weight, age, disease spectrum and the reasons for the success rate of transfer and the failure of transshipment. Results ① The percentage of preterm infants who were transported was 38.9% and that of term infants was 61.1%. The prevalence rate was 83.5% in early neonates and 65.3% in 3d. The first 3 diseases were respiratory distress syndrome, pneumonia and respiration Failure and sepsis, accounting for 69.8% of the total transport; ④ successful delivery rate of 95.89%, transfusion mortality was 1.04%; transport failure due to: severe illness, late transit, improper handling during transit. Conclusion Neonatal transport system based on NICU is an effective transport mode to reduce the neonatal mortality rate. The preparation of transport equipment, careful evaluation before transport and close observation of transit are the keys to successful neonatal transfusion.