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目的探讨分析NICU成立前、后5年我院新生儿危重症合并休克病因及预后的变化。方法统计分析自1998年3月至2008年3月住院患儿6332例中危重症合并休克413例的临床资料。按NICU成立前、后分为2组,比较2组患儿病因变化及预后。结果NICU成立前、后5年比较,新生儿危重症合并休克发生率明显下降,其中心源性休克发病率下降了49.50%,感染性休克发病率下降了32.96%,低血容量休克发病率下降了56.25%。新生儿危重症合并休克救治成功率明显提高,NICU成立后比成立前提高了46.44%;新生儿危重症合并休克病死率明显下降,下降率为130.37%。结论通过NICU成立前、后5年新生儿危重症合并休克病因及预后变化比较,说明基层医院成立新生儿重症监护病房后医疗水平明显提高,对降低本地区新生儿病死率意义重大。
Objective To investigate the changes of the etiology and prognosis of shock and neonatal critical illness in our hospital before and after NICU was established. Methods The clinical data of 6332 critically ill patients with severe shock and 413 shock admitted to hospital from March 1998 to March 2008 were statistically analyzed. According to NICU before and after the divided into two groups, compared two groups of children etiology and prognosis. Results The incidence of combined shock in neonatal critical illness was significantly lower than that in the first 5 years after NICU was established. The incidence of cardiogenic shock decreased by 49.50%, the incidence of septic shock decreased by 32.96%, and the incidence of hypovolemic shock decreased 56.25%. The success rate of neonatal critical illness and shock treatment was significantly improved, NICU 46.6% higher than before the establishment of the establishment; critical illness with neonatal shock mortality decreased significantly, the rate of decline was 130.37%. Conclusions The comparison of etiology and prognosis of critical illness with shock before and after NICU 5 years after establishment of NICU shows that the medical level of neonatal intensive care unit in primary hospitals is significantly improved after the establishment of NICU, which is of great significance to reduce neonatal mortality in this area.