小儿危重病例评分法在危重儿童院间转运中的应用  

The score system used in the critical children's interhospital transportation

作　　者：马文成[1] 石国光[1] 严建江[1] 

机构地区：[1]广东省广州市儿童医院急诊科,510120

出　　处：《中国妇幼保健》2005年第21期2800-2802,共3页Maternal and Child Health Care of China

基　　金：广东省医学科研基金资助项目(NO.2001581)

摘　　要：目的:检验<小儿危重病例评分法(草案)>(评分法)在重症儿童院间转运中的使用效果.方法:实施转运的患儿于转运前根据转出医院记录的各项参数计算转运前评分;回该院后48 h内再记录各项参数计算转运后评分;根据两次评分与实际治疗效果比较.结果:非危重、危重、极危重患儿转运前后各级间死亡率有显著性差异(P＜0.01).转运前后评分差值≤0者76.35%(155/203),与＞0者病死率相比有显著性差异(P＜0.01).死亡组评分≤70分者46.67%(14/30);71～80分者46.67%(14/30),81～90分者6.67%(2/30),其评分在转运前后均显著低于存活组(P＜0.01).结论:评分法在院间转运中使用效果良好,并可根据评分法设立转运指征.Objective： To test the effect of score system used in the critical children＇s inter - hospital transportation. Methods： Before transportation, according to the materials given by the first hospital, evaluated the critical children and gave them a group of score ; after 48 hours of the transportation, evaluated them again and gave another group of score ; compared the two groups of score and the actual curative effect. Results： The critical situation children were divided into 3 degrees ： ①No - critical children, ②Critical children, ③Seriously critical children. Betbre and after the transportation, the death rates of them were obviously different （P 〈 0. 01 ）. The difference was also obvious between the children （76. 35% ） who got lower scores alter the transportation and the ones who get higber scores （P 〈0. 01 ）. In the group of children who died after transportation, there were 46. 67% （14/30） who got a score lower than 70, 46. 67% （14/30） between 70 and 80, and 6. 67% （2/30） between 80 and 90. The sores were all obvious lower than that of the group of alive children （P 〈 0. 01 ） . Conclusion： The use of the score system in the critical children＇s interhospital transportation is good. And the transportation standard should be set up according to it.

关 键 词：危重 病情评估 儿童 

分 类 号：R174[医药卫生—妇幼卫生保健]