吉林省危重新生儿转运现状分析

目的:探讨吉林省新生儿转运系统对降低该省新生儿死亡率、提高存活率的积极作用及存在的问题。方法:回顾性分析吉林大学第一医院新生儿科转运的1228例新生儿,其中胎龄≤32周的早产儿167例,32周<胎龄<37周的早产儿588例,胎龄≥37的足月儿473例;分析疾病组成、治疗转归以及转运地区及转运科室组成的变化。结果:转运患儿逐年增多,2010年共转运547例,而2011年转运681例,无1例转运途中死亡。治愈及好转1 131例占92.1%,放弃治疗60例占4.89%,死亡37例占3.01%。2011年市内转运比例增加,同时市内其他医院产科转运所占比例较儿科转运所占比例增加。结论:吉林省新生儿转运逐年发展完善,降低了该省危重新生儿的病死率,改善了预后。但存在高危儿生后二次转运的问题。

Analysis on the current situation of transfer of critically ill neonates in Jilin province

Objective:To explore the active effect of neonatal emergency transfer system(NETS) in Jilin province on reducing neonatal mortality and increasing neonatal survival rate and the existing problems.Methods:A total of 1 228 neonates transferred into department of neonatology in the hospital were analyzed retrospectively,including 167 premature infants with gestational age≤32 weeks,588 premature infants with gestational age within 32-37 weeks,and 473 premature infants with gestational age≥37 weeks.The changes of proportion of diseases,outcome,areas,and departments were analyzed.Results:The ill neonates transferred increased year by year,in 2010,547 ill neonates were transferred,while in 2011,681 ill neonates were transferred,none died during transfer.A total of 1 131 neonates were cured or improved,accounting for 92.1%;60 neonates were given up,accounting for 4.89%;37 neonates died,accounting for 3.01%.In 2011,the proportion of transferred neonates in urban areas increased,and the proportion of transferred neonates from obstetrical department in urban areas was higher than that from pediatric department.Conclusion:NETS in Jilin province develops and improves year by year,which reduce the case fatality rate of critically ill neonates and improve the prognosis,but there is a problem of secondary transfer of high risk neonates after birth.