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目的探讨基层NICU建立转运抢救网络。方法我院成立二级NICU,与本地区13家乡镇医院建立了业务联系,配置抢救设备前往各乡镇医院,负责将危重新生儿转运回院救治;对超出本中心诊疗水平的危重新生儿转送广东省妇幼保健院新生儿重症监护中心(三级NICU),形成乡镇-县-省三级转运抢救网络。结果1年来共转运危重儿98例,转送广东省妇幼保健院30例。其中以新生儿窒息、早产儿及呼吸系统疾病为主,占86.73%,本组病人总治愈率94.89%;两级NICU治愈率基本相同。二年度比较,本地区新生儿死亡下降率为41.03%(P<0.01)。结论转运工作成功关键在转运途中的技术保证,三级转运抢救网络对降低危重儿的死亡率及伤残率,提高生存质量将具有非常重要意义。
Objective To investigate the establishment of a transshipment and rescue network at the grassroots NICU. METHODS: Our institute set up two grades of NICU to establish business contacts with 13 township hospitals in the region, deploy rescue equipment to hospitals in towns and townships, transfer the critical newborns to the hospital for treatment, and transfer the critical newborns who exceed the level of the center’s diagnosis and treatment to Guangdong. Provincial Maternal and Child Health Hospital Newborn Intensive Care Center (3rd level NICU) forms a township-county-provincial three-tier transshipment and rescue network. Results A total of 98 critically ill children were transferred in one year and transferred to Guangdong Maternal and Child Health Hospital in 30 cases. Among them, neonatal asphyxia, preterm infants and respiratory diseases were the main diseases, accounting for 86.73%. The total cure rate of this group was 94.89%. The cure rates of the two-level NICU were basically the same. In the comparison between the two years, the rate of neonatal deaths in the region was 41.03% (P<0.01). Conclusion The key to the success of transshipment is the technical assurance during transit, and the tertiary transshipment and rescue network will have very important significance in reducing the mortality and disability rate of critically ill children and improving the quality of life.