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早产儿转运方式探讨
http://www.100md.com 《中华围产医学杂志》 1999年第2期
婴儿|早产|转运,关键词:
     杨弘伟 印学蕾 石树中 200040 上海市第一妇婴保健院新生儿科 中华围产医学杂志 1999 0 2 2


    关键词:婴儿;早产;转运 期刊 zhwcyxzz 0 论著 fur -->


    

摘要 目的 通过近年早产儿转运方式的变化以及转运对早产儿的影响,探讨对早产儿安全最有利的转运方式。方法 考察1994~1997年576例早产儿中胎内转运率和生后转运率的变化,比较两种方式下的早产儿死亡率,分析死亡原因,检讨目前转运工作中存在的问题。结果 胎内转运率逐年大幅度提高。胎内转运死亡率低于生后转运死亡率。胎内转运死亡原因主要是极低体重儿各脏器功能极不成熟且伴有严重并发症;生后转运死亡原因主要是肺出血和感染。结论 围产儿胎内转运优于生后转运。应在现代科学的基础上建立和完善早产儿转运系统。

    Investigation of TransportProcedure for Premature

YANG Hongwei YIN Xuelei SHI Shuzhong

    Shanghai Nursing Center For Premature Infants,

    Shanghai First Maternity And Infant Health Hospital, Shanghai 200040,China

Abstract Objective To investigate the changing trendof the transport mode of premature and the impacts of different modes to the prematureinfants, and to study how to improve the transport operations for premature. Methods The trend of neonatal transportconverted to maternal transport was accounted for total 576 cases of premature transportfrom 1994 to 1997, the premature mortality rates related with two modes were compared, thecauses of 27 death cases were analyzed, and the defect of current premature transportsystem was examined. Results The rate of maternal transportwas raising obviously in recent years. The premature mortality rate of maternal transportwas lower than that of neonatal transport. Underdeveloped organs and serious complicationswere the main causes of death in maternal transport mode; pulmonary hemorrhage andinfection were the main causes of death in neonatal transport mode. Conclusion Maternal transport is better than neonatal transport forpremature. Based on the modern science, a perfect premature transport system should beestablished.

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