目的:探究急诊科机械通气病人院内安全转运的管理注意事项,为加强安全护理管理提供依据。方法:研究对象选取为2013年7月~2015年9月之间德清县人民医院急诊科机械通气治疗的114例患者,对患者院内转运前的准备措施、转运过程中的安全管理措施进行总结,改善整体护理质量。结果:114例患者均顺利完成转运,109例患者病情平稳,转运途中2例患者发生躁动,自行拔出气管导管,1例患者输液管道扭曲,需要重新输液,1例患者呼吸机故障,1例患者心跳骤停,但经及时处理、抢救后均顺利送达相关科室进行进一步治疗,未发生相关事故或纠纷。结论:急诊科机械通气患者的院内转运风险较大,因此要做好转运前的准备工作,切实评估患者的风险因素,确保转运通道通畅,保持与家属的良好沟通,转运途中要密切观察患者的生命体征变化,做好导管护理,减少转运意外,提高患者护理安全。 Objective: To explore the management precautions of safe transhipment in emergency department patients with mechanical ventilation and provide the basis for strengthening safety nursing management. METHODS: The subjects were selected from 114 patients undergoing mechanical ventilation in Deqing County People’s Hospital Emergency Department between July 2013 and September 2015. The preparation measures before hospital transportation and the safety management measures during transportation were summarized, Improve the overall quality of care. Results: All the 114 patients were successfully transfered, and 109 patients were in stable condition. Two patients were agitated during transshipment. Tracheal catheter was withdrawn by themselves. One patient was distorted by infusion tube. One patient had ventilator failure. One patient had ventilator failure. Patients with sudden cardiac arrest, but after timely treatment, after the rescue were successfully delivered to the relevant departments for further treatment, no related accidents or disputes. CONCLUSIONS: Patients in emergency department of mechanical ventilation have a higher risk of nosocomial transit. Therefore, they should make preparations for pre-delivery, evaluate patients’ risk factors effectively, ensure the transshipment channel is unobstructed and maintain good communication with their families. During the transit, patients should be closely observed Vital signs of change, good catheter care, reduce transport accidents, improve patient care safety.