论文部分内容阅读
目的:探讨吉林省新生儿转运系统对降低该省新生儿死亡率、提高存活率的积极作用及存在的问题。方法:回顾性分析吉林大学第一医院新生儿科转运的1228例新生儿,其中胎龄≤32周的早产儿167例,32周<胎龄<37周的早产儿588例,胎龄≥37的足月儿473例;分析疾病组成、治疗转归以及转运地区及转运科室组成的变化。结果:转运患儿逐年增多,2010年共转运547例,而2011年转运681例,无1例转运途中死亡。治愈及好转1 131例占92.1%,放弃治疗60例占4.89%,死亡37例占3.01%。2011年市内转运比例增加,同时市内其他医院产科转运所占比例较儿科转运所占比例增加。结论:吉林省新生儿转运逐年发展完善,降低了该省危重新生儿的病死率,改善了预后。但存在高危儿生后二次转运的问题。
Objective: To explore the positive effects and existing problems of neonatal transit system in Jilin province on reducing the neonatal mortality rate and increasing the survival rate in this province. Methods: A retrospective analysis of 1228 newborn neonates transplanted in the First Hospital of Jilin University, including 167 preterm infants with gestational age ≤ 32 weeks, 588 preterm infants with gestational age <37 weeks, gestational age ≥37 473 full-term infants; analyze the composition of the disease, the outcome of treatment, and the changes in the composition of the transshipment areas and transit departments. Results: The number of transplanted children increased year by year, with 547 cases transplanted in 2010, 681 cases transplanted in 2011, none of them died during transfusion. 1 131 cases of cure and improvement accounted for 92.1%, give up the treatment of 60 cases accounted for 4.89%, 37 cases died of 3.01%. In 2011, the proportion of transhipment in the city increased while the proportion of obstetric transhipment among other hospitals in the city increased as compared with that of pediatric transhipment. CONCLUSION: Neonatal transit in Jilin Province has developed year by year, reducing the mortality of critically ill newborns in the province and improving the prognosis. However, there is the problem of secondary transport after high-risk children.