26例弃婴的救治管理

目的：探讨医院对收治弃婴的救治及护理管理工作。方法收集中山大学附属第一医院急诊科2010年1月—2013年8月收治26例弃婴的临床资料，回顾分析弃婴病例特点、实施救治措施和护理方法经验。结果26例弃婴中男10例，女16例，均患有严重基础疾病；24例在院内发现（92.31％）；8例有先天残疾（30．75％）。全部病例进入弃婴救护流程，2例死亡，24例情况稳定后顺利转至福利院。结论26例弃婴均患有严重先天性疾病、残疾等，以女婴为主。制定系统规范的弃婴救护流程是急诊科救治弃婴成功的关键。医院领导的高度重视，医护人员富有同情心和高度负责、医护之间的密切配合，可使弃婴的救治工作顺利实施。

Treatment and management of 26 abandoned babies

Objective To explore the medical treatment and nursing management for abandoned babies.Methods We collected the clinical information of twenty six abandoned babies during the period of January 2010 to August 2013.The paper made retrospective analysis of the characteristics of abandonment cases, treatment and nursing methods and experiences.Results There were twenty six abandoned babies （ ten males and sixteen females ） with twenty four cases of them found in the hospital.All cases were suffered severe underlying diseases,including eight cases having congenital disabilities.The management of all cases followed the emergency aid process.As a result, the disease of all babies became steady-going and sent to orphanage except two died.Conclusions The key of success is to develop systematic and normative emergency aid procedure during the process of abandoned baby’ s treatment.Moreover, the attitude of hospital leadership and the compassion and cooperation of all medical staffs contribute to abandoned baby’ s rescue and treatment.