儿童医院急诊室婴儿死亡原因分析

目的：调查急诊室内新生儿及婴儿死亡的主要疾病和影响抢救成功的因素。方法：复习五年来急诊室抢救记录。结果：142例新生儿和婴儿在急诊室内抢救无效死亡，死亡的前五位分别是窒息、肺炎、先天畸形、腹泻病和颅内疾病。103例(72．6％)病儿转院时使用公共交通工具或出租车，并无医务人员护送，仅14．8％的病儿由救护车转送，124例于院前死亡。结论：导致本组新生儿和婴儿死亡的疾病主要原发于呼吸系统和中枢神经系统，许多病人在转运中未使用救护车，亦无医务人员护送，到达急诊室时呼吸心跳已经停止。建立儿童急救网络和实施安全转运是非常必要的。

Analysis of Infants Death in A Children's Hospital Emergency Room

Objectives: To determine the predisposing factors of unsuccessful rescue and the leading underlying diseases of infants death in the ER. Methods: To review the rescue medical records of all who arrived at the ER of Children's Hospital during the period January 1, 1997 to December 1, 2001. Results: 142 infants were failed to rescue in the ER. Apnea, pneumonia, congenital anomalies, diarrhea and intracranial lesions were the most common underlying diseases of the infants death. 103(72.6% ) patients were arrived at the ER by public transportation or taxi without medical personels accompanied and only 21 infants(l4. 8% ), by ambulance. 124 were found dead immediately arrived at ER. Conclusions: Respiratory and central nervous diseases were the most common underlying diseases of the neonatal and infants dead at the ER. Limited medical resources were used by the public during transportation. Cardiopulmonary arrest occurred out-of-hospital in most neonatal and infants dead at the ER. It is not overemphasized to establish a referral net-work and to safely transport the patients.