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目的 分析专业新生儿急救转运 (NETS)的运作特点及临床意义 ,确保NETS运作安全性的提高。方法 用回顾性统计学分析方法 ,分析我院NETS转运的 2 15例新生儿的临床特点 ,总结院前急救经验。结果 我院NETS已具有较强的专业人员及完善的设备配置 ,与重庆地区及周边区域 4 3家基层医院建立稳定的转运协作关系 ,院前急救、途中监护等NETS运作规范有效 ,确保转运新生儿的安全 ;危重儿约 95 .6 % ,转运前常伴发低体温、酸中毒、低血糖 ,经现场急救稳定病情后 ,2 15例均安全转运回院。转运患儿中 ,肺炎、缺氧缺血性脑病、早产儿为常见疾病 ,发生率分别为 81.9%、6 9.8%、6 4 .2 % ;早产儿胎龄多小于 35周117/ 138(84 .8% ) ,双胎或多胎占 2 7.5 % ;,治愈好转率 88.4 %。结论 规范化的NETS应包括专业人员组队、及时有效的院前急救、途中严密监护病情 ,可最大限度地保障危重新生儿安全的转运 ,为后续治疗争取了宝贵时间 ,对减少后遗症发生有积极作用
Objective To analyze the operational characteristics and clinical significance of NETS in order to ensure the safety of NETS operation. Methods The retrospective statistical analysis was used to analyze the clinical features of 215 neonates with NETS transport in our hospital and to summarize the experience of prehospital emergency treatment. Results NETS in our hospital had a strong professional staff and perfect equipment configuration, established stable transport cooperation relationship with 43 primary hospitals in Chongqing and the surrounding areas, pre-hospital emergency treatment and on-the-spot monitoring and other NETS operation regulations were effective to ensure the transport of freshmen Children’s safety; critically ill children about 95.6%, accompanied by hypothermia, acidosis, hypoglycemia before transfusion, after the scene of the first aid to stabilize the condition, 2 15 cases were safely transported back to the hospital. The incidence of pneumonia, hypoxic-ischemic encephalopathy and premature infants were 81.9%, 68.8% and 64.2% respectively in the transport children. The gestational age of premature infants was less than 35 weeks 117/138 (84 .8%), twins or multiple births accounted for 2 7.5%; cure improvement rate of 88.4%. Conclusion The standardization of NETS should include professional team formation, timely and effective first aid before going to hospital, intensive care on the way to protect the safety of critically ill newborns to the maximum transport for the follow-up treatment for the valuable time, to reduce the occurrence of sequelae have a positive effect