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目的:分析北京市医疗机构危重新生儿救治能力现状,为新生儿救治转诊网络的建设提供理论依据。方法:采用调查表形式对2012年北京市108所医疗机构新生儿救治情况进行调查,并对调查情况进行分析。结果:108所医院新生儿病床总数为1 175张,2012年共收治新生儿37 509名,其中早产儿9 198名。70所(64.81%)医疗机构实际救治新生儿数不能满足其自身救治需求。医疗机构中,24所(22.22%)医疗机构设有新生儿重症监护病房(NICU),24所(22.22%)医疗机构配备转运暖箱,12所(11.11%)医疗机构配备新生儿转运车,12所(11.11%)医疗机构配备专用的转运呼吸机。结论:北京市危重新生儿救治和转运需求较高,但NICU、新生儿病床和转运设备等明显不足,急需加强新生儿救治转诊网络建设。
OBJECTIVE: To analyze the status quo of emergency treatment of critically ill newborn infants in medical institutions in Beijing, and to provide a theoretical basis for the construction of new treatment network. Methods: A questionnaire was used to investigate the newborns in 108 medical institutions in Beijing in 2012 and analyze the investigation. Results: The total number of newborns in 108 hospitals was 1 175. In 2012, 37 509 newborns were enrolled, of whom 9 198 were premature infants. 70 (64.81%) Medical institutions actually treat newborns can not meet their own needs. Among the medical institutions, 24 (22.22%) medical institutions have neonatal intensive care unit (NICU), 24 (22.22%) medical institutions are equipped with transfer incubators and 12 (11.11%) medical institutions are equipped with neonatal transfer vehicles, 12 (11.11%) medical institutions equipped with a dedicated transport ventilator. Conclusion: There is a high demand for treatment and transport of critically ill newborn infants in Beijing. However, NICU, neonatal beds and transport facilities are obviously deficient. Therefore, there is an urgent need to strengthen the construction of referral network for newborn care.