危重新生儿转运网络的临床应用分析(1)
[摘要]目的 探讨危重新生儿转运工作的意义。方法 回顾性分析2013年1月1日～2015年12月31日我院新生儿科通过双程方式转运的危重新生儿的病种、转归及转运过程。结果 自2013年1月1日～2015年12月31日，本院从基层医院共转运397例危重新生儿，转运途中无死亡，入院后经新生儿重症监护室(NICU)医护人员积极抢救，治愈好转389例，转上级医院2例，自动出院4例，死亡2例，抢救成功率99.5%。转运疾病种类：早产儿占41.8%；新生儿肺炎占17.4%；新生儿窒息占11.1%；高胆红素血症占8.3%；新生儿发绀占5.5%；呼吸窘迫综合征占5.3%；新生儿呕吐占3.8%；缺血缺氧性脑病占2.0%。结论 区域性危重新生儿转运网络的建立，能使危重新生儿得到更好、更快的救治，从而降低病死率和致残率。
[关键词]危重新生儿；转运；安全；区域性新生儿转运网络
[中图分类号] R715.8 [文献标识码] A [文章编号] 1674-4721(2016)11(a)-0143-03
The clinical application of critical neonatal transport network analysis
QIAO Li LIU Shun-ying▲
Department of Nursing，the First People′s Hospital of Yangzhou City in Jiangsu Province，Yangzhou 225000，China
[Abstract]Objective To discuss the significance of transportion work of the critical neonate.Methods The disease，outcome and process of the double process transportion of critical neonate from the 1st January 2013 to 31st December 2015 in our hospital were retrospectively analyized.Results 397 cases of the critical neonate were transported from basic level hospitals since 1st January 2013 to 31st December 2015 in our hospital.And the mortality rate on the way of transport was 0.The neonate were actively rescued by medical staff of NICU after admission，389 cases of the critical neonate were cured and improved，2 cases was transferred to the superior hospital，4 cases automatic discharged，two of them died，the success rate of rescuing was 99.5%.The disease kinds of the transportion of critical neonatal： premature neonatal was 41.8%，neonatal pneumonia disease was 17.4%，neonatal asphyxia was 11.1%，hyperbilirubinemia was 8.3%，cyanoderma was 5.5%；respiratory distress syndrome was 5.3%；neoborn vomiting was 3.8%；hypoxic-ischemic encephalopathy was 2.0%.Conclusion Establishment of regional critical neonatal transportation network can help the critically ill newborns get better，faster treatment，thereby reduce the mortality rate and disability rate.
[Key words]Critical neonate；Transport；Safety；Regional neonatal transport network
危重新生兒转运是将需要急救监护的危重新生儿从基层医院或缺乏现代医疗设备与技术的医院运至有新生儿重症监护室(NICU)的医院[1]，是新生儿急救工作的重要环节[2]。安全成功转运是提高危重新生儿存活率中极为重要的一环，对降低危重新生儿的病死率、改善高危新生儿预后有着重要意义。1950年美国成立新生儿转运系统(neonatal emergency transport system，NETS)，20世纪80年代后期和90年代初，随着国内NICU的建立，我国新生儿转运工作也逐步实行并快速发展。我院自2004年1月开始建立区域性新生儿转运网络，按标准配备新生儿转运专用救护车，以及经过危重新生儿转运相关理论和操作技能培训、具有丰富临床工作经验和熟练急救操作技能的医护人员。对区域内的危重新生儿实施了主动转运服务，接诊半径200 km，其间经历了起步阶段、早期经验积累阶段和技术成熟阶段。现将成功转运外院新生儿397例总结报道如下。
1 资料与方法
1.1一般资料 (乔莉 刘顺英)
[关键词]危重新生儿；转运；安全；区域性新生儿转运网络
[中图分类号] R715.8 [文献标识码] A [文章编号] 1674-4721(2016)11(a)-0143-03
The clinical application of critical neonatal transport network analysis
QIAO Li LIU Shun-ying▲
Department of Nursing，the First People′s Hospital of Yangzhou City in Jiangsu Province，Yangzhou 225000，China
[Abstract]Objective To discuss the significance of transportion work of the critical neonate.Methods The disease，outcome and process of the double process transportion of critical neonate from the 1st January 2013 to 31st December 2015 in our hospital were retrospectively analyized.Results 397 cases of the critical neonate were transported from basic level hospitals since 1st January 2013 to 31st December 2015 in our hospital.And the mortality rate on the way of transport was 0.The neonate were actively rescued by medical staff of NICU after admission，389 cases of the critical neonate were cured and improved，2 cases was transferred to the superior hospital，4 cases automatic discharged，two of them died，the success rate of rescuing was 99.5%.The disease kinds of the transportion of critical neonatal： premature neonatal was 41.8%，neonatal pneumonia disease was 17.4%，neonatal asphyxia was 11.1%，hyperbilirubinemia was 8.3%，cyanoderma was 5.5%；respiratory distress syndrome was 5.3%；neoborn vomiting was 3.8%；hypoxic-ischemic encephalopathy was 2.0%.Conclusion Establishment of regional critical neonatal transportation network can help the critically ill newborns get better，faster treatment，thereby reduce the mortality rate and disability rate.
[Key words]Critical neonate；Transport；Safety；Regional neonatal transport network
危重新生兒转运是将需要急救监护的危重新生儿从基层医院或缺乏现代医疗设备与技术的医院运至有新生儿重症监护室(NICU)的医院[1]，是新生儿急救工作的重要环节[2]。安全成功转运是提高危重新生儿存活率中极为重要的一环，对降低危重新生儿的病死率、改善高危新生儿预后有着重要意义。1950年美国成立新生儿转运系统(neonatal emergency transport system，NETS)，20世纪80年代后期和90年代初，随着国内NICU的建立，我国新生儿转运工作也逐步实行并快速发展。我院自2004年1月开始建立区域性新生儿转运网络，按标准配备新生儿转运专用救护车，以及经过危重新生儿转运相关理论和操作技能培训、具有丰富临床工作经验和熟练急救操作技能的医护人员。对区域内的危重新生儿实施了主动转运服务，接诊半径200 km，其间经历了起步阶段、早期经验积累阶段和技术成熟阶段。现将成功转运外院新生儿397例总结报道如下。
1 资料与方法
1.1一般资料 (乔莉 刘顺英)