标题：院前危重症患儿专科急救转运系统的临床应用

      作者：韦蓉，莫武桂，谢友军，卢功志，郑劼，傅君    (广西壮族自治区妇幼保健院重症医学科，广西 南宁 530003)

      卷次： 2016年27卷22期

      【摘要】 目的 探讨院前危重症患儿专科急救转运系统的临床应用效果。方法 回顾性分析2007年1月至2015年12月于我院重症医学科接诊的2 835例危重症患儿的临床诊治资料，其中转运系统应用前(2007年1月至2010年 12月) 401例，转运系统应用后(2012年 1月至 2015年 12月) 2 434例。对比分析转运系统应用前后患儿疾病类别构成、转运方法构成、死亡率及诊治后的去向构成，分析转运系统临床应用的效果。结果 转运系统应用前后疾病构成比例较高的前三位均为新生儿疾病、呼吸系统疾病和神经系统疾病，疾病类别构成比较差异均无统计学意义(P>0.05)，采用方法 1转运的比例为 35.00%，明显提高于应用前的 17.96%，差异有统计学意义(P<0.05)；转运前，患儿死亡率为 5.99%，明显高于转运后的 3.00%，两组比较差异有统计学意义(P<0.05)；转运前，回家和门诊治疗最多，占 39.90%，其次是转院 27.93%，入院 17.46%，留院观察最少，仅 14.71%；转运后，留院观察最多，占40.47%，其次是入院 37.96%，回家和门诊治疗 19.60%，而转院最少，仅 1.97%，两组比较差异均有统计学意义(P<0.05)。结论 院前危重症患儿专科急救转运系统有利于危重症患儿的救治，降低其死亡率，值得临床推广应用。
      【关键词】 危重症患儿；急救；转运系统；应用；效果
      【中图分类号】 R726 【文献标识码】 A 【文章编号】 1003—6350（2016）22—3684—03

Clinical application of specialized emergency transport system in critically ill children.
WEI Rong, MO Wu-gui, XIEYou-jun, LU Gong-zhi, ZHENG Jie, FU Jun. Intensive Care Unit, the Maternal and Child Health Care Hospital of GuangxiZhuang Autonomous Region, Nanning 530003, Guangxi, CHINA
【Abstract】 Objective To investigate the clinical application of specialized emergency transport system in criti-cally ill children. Methods Clinical diagnosis and treatment data of 2,835 critically ill children in our hospital from Jan-uary 2007 to December 2015 were retrospectively analyzed. The patients were divided into two groups, before applica-tion of transport system (January 2007 to December 2010, n=401), after application of transport system (January 2012 toDecember 2015, n=2,434). Before and after the application of the transport system, the composition of diseases, the pro-portion of the transport method, the mortality rate and the results after diagnosis and treatment were analyzed, and the ef-fect of the clinical application of the transport system was analyzed. Results The top three disease types before and af-ter the application of the transport system were neonatal diseases, respiratory system diseases, and nervous system diseas-es. There were no significant difference in the composition of disease types (P>0.05). The proportion of the transportmethod 1 (by ambulance transport) was 35.00%, which was significantly higher than that of before application of trans-port system (17.96%), and the difference was statistically significant (P<0.05). The mortality rate before application of·论 著·doi:10.3969/j.issn.1003-6350.2016.22.025基金项目：广西卫生厅2012年度自筹经费项目(编号：Z2012213)