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目的讨论建立区域性新生儿急救转运系统的方法和意义。方法 2003年4月湖北省妇幼保健院新生儿科,先后与湖北省内100余家医疗保健机构建立了危重新生儿转运协作关系,并配置整套新生儿急救转运系统,负责接收和转运危重新生儿,通过临床指导、信息交流、结果反馈等手段与基层医疗保健机构保持良好的协作关系。结果 2003年4月至2009年4月,6年共转运新生儿4136例,占同期总住院病人的26.3%,转运病人中占前3位的病种分别为早产、新生儿窒息、呼吸系统疾病,共占67.8%,转运途中无死亡。转运系统逐步完善,辐射地区不断扩大,救治能力快速提高,转运数量迅猛增加。结论在区域内建立危重新生儿转运系统,大大提高了区域内危重新生儿诊治水平及抢救成功率,降低了湖北省新生儿病死率及伤残率。
Objective To discuss the method and significance of establishing a regional neonatal emergency transport system. Methods In April 2003, Department of Neonatology, MCH Hospital of Hubei Province, established a collaborative relationship with more than 100 health care institutions in Hubei Province for critically ill neonatal transport and equipped with a whole set of neonatal emergency delivery system to receive and transfer critical newborn infants, Through clinical guidance, information exchange, the results of feedback and other means and primary care health institutions to maintain good relations of cooperation. Results From April 2003 to April 2009, 4136 newborns were co-transported in 6 years, accounting for 26.3% of the total inpatients in the same period. The top 3 carriers in transit patients were premature birth, neonatal asphyxia, respiratory diseases , A total of 67.8%, no death during transit. Transport system gradually improved, the radiation area continues to expand, rapid improvement in treatment capacity, the rapid increase in the number of transhipment. Conclusion The establishment of critical neonatal transport system in the region has greatly improved the diagnosis and treatment of critically ill newborns in the region and the success rate of rescue, and reduced neonatal mortality and disability in Hubei Province.