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1993年下半年起,广东省妇幼保健院在国内率先成立危重新生儿抢救网络,NICU与附近32家医院建立了有关的业务联系,并配置整套抢救设备前往各基层医院,负责接收和转运危重的新生儿。几年来共接运病儿945人次,占同期总住院病人的63.51%。接运病人中占前3位的病种分别为新生儿窒息、呼吸系统疾病和早产儿(共占85.71%)。广东省妇幼保健院与基层医院共同拟定转运标准,然后各医院再根据院况修改转运标准。体会:①开展转运工作成功的关键在于转运途中的技术保证;②提高转运的治疗成功率需各方面的通力协作,转运前的各种处理同样很重要;③设立区域性新生儿重症监护中心(NICU)对降低新生儿死亡率和致残率非常有效,各基层医院应重视危重病人的转运工作;④要提高产科监护技术,大力推广新法复苏,降低窒息发生率;⑤提倡宫内转运到有较高水平的NICU的医院产科分娩对降低早产和窒息的发病率和死亡率都将非常有意义。
Since the second half of 1993, Guangdong MCH has taken the lead in establishing a critical neonatal rescue network in China. The NICU has established relevant business contacts with 32 hospitals in the vicinity and has deployed a full range of rescue equipment to all primary hospitals for receiving and transferring critical Newborns. Over the past few years received a total of 945 sick children, accounting for 63.51% of the total inpatients over the same period. Among the patients receiving the top three diseases, neonatal asphyxia, respiratory diseases and premature infants (85.71% in all) occurred. Maternal and Child Health Hospital of Guangdong Province and the grass-roots hospitals jointly develop transport standards, and then the hospital and then modify the transit conditions based on hospital conditions. Experience: ① The key to the success of transhipment lies in the technical assurance of transhipment; ② The success rate of transhipment should be improved in coordination with all aspects, and the treatment before transhipment is equally important; ③The establishment of a regional neonatal intensive care center NICU) is very effective in reducing neonatal mortality and disability, and all primary hospitals should pay attention to the transport of critically ill patients; (4) to improve obstetric care technology, vigorously promote the recovery of new law and reduce the incidence of asphyxia; (5) A higher level NICU hospital obstetric delivery will be of great interest in reducing the morbidity and mortality of prematurity and asphyxia.