远距离院际转运507例危重症患儿回顾性分析  

Retrospectively study of 507 critically ill children in long distance interhospital transport

作　　者：孙跃玉[1] 昌艳军[1] 郭予雄[1] 钟敏泉[1] 何少茹[1] 

机构地区：[1]广东省人民医院/广东省医学科学院PICU,广州510080

出　　处：《中华实用儿科临床杂志》2013年第6期407-410,共4页Chinese Journal of Applied Clinical Pediatrics

基　　金：国家科技支撑计划项目（2011BAI11B22）

摘　　要：目的提高危重症患儿的远距离院际转运水平。方法回顾性分析2009年8月至2011年7月广东省人民医院PICU通过远距离院际转运收治的507例危重症患儿的临床资料、诊断和转归。结果507例危重症患儿中，男336例，女171例；年龄29d～15岁（中位数11个月）；体质量2．5～80．0kg（中位数8．0kg）；转运花费时间为90～990min（中位数为264min），其中121例（23．9％）花费121～240min，288例（56．8％）花费241～480min，72例（14．2％）花费超过480rain；转运距离为74～620km（中位数266km），其中249例（49．1％）患儿转运距离101～200km，133例（26．2％）患儿转运距离≤100km。前3类疾病是心血管系统疾病（169例，33．3％）、呼吸系统疾病（128例，25．2％）和神经系统疾病（85例，16．8％）；转运过程中无一例死亡，均入住广东省人民医院PICU进一步诊断和治疗，其中治愈出院486例（95．9％），放弃治疗13例，死亡8例。结论在院际远距离转运时，配备专业的转运队伍，做好转运前充分的准备，密切监护患儿在转运途中的病情变化能有效提高转运质量。Objective To improve the quality of transportation of critically ill children in long distance inter- hospital transport. Methods The clinical data, diagnosis and outcomes of 507 critically ill children transported from other hospitals in long distances to PICU of Guangdong General Hospital, between Aug. 2008 and Jul. 2011, were ana- lyzed retrospectively. Results Among 507 critically ill children,336 cases were male and 171 cases were female,aged from 29 days to 15 years（ median age was 11 months） and weighted from 2.5 to 80.0 kg（ median weight was 8.0 kg）. The transport durations ranged from 90 to 990 rain （median duration was 264 min） ,among which 121 eases（23.9% ） took 121 to 240 rain,288 cases （56.8%） took 241 to 480 min,72 cases（ 14.2% ） took more than 480 min. The trans- fer distance ranged from 74 to 620 km （median distance was 266 km） ,249 cases（49.1% ） of which were transferred from hospitals ranging from 101 to 200 kin,133 eases（26.2% ） less than 100 km . The top 3 diseases were cardiovas- cular diseases（ 169 patients ,33.3% ）, respiratory diseases （ 128 patients, 25.2% ） and neural diseases （ 85 patients, 16.8% ）. None of the patients died on the way and all of them received further treatment. In the end,486 cases dis- charged, 13 cases gave up and 8 cases died. Conclusions During the long distance interhospital transport, a specialist retrieval team with adequate equipments and preparation, close monitoring on the way, can effectively improve the quali- ty of long distance intcrhospital transportation.

关 键 词：远距离转运 院际转运 危重症 儿童 

分 类 号：R7[医药卫生—临床医学]