紫绀型先天性心脏病患儿院际转运145例临床分析

来源期刊：广州医药 | 20-24 发布时间：2021-11-24 收稿时间：2025/11/13 18:02:55 阅读量：18

作者：: 宋永玲,

洪燕,

王强,

邓其文,

陈文琼,

关键词：: 儿童转运先天性心脏病; children transport congenital heart disease

DOI：: 10.3969/j.issn.1000-8535.2021.05.004

收稿时间：: 2021-03-10
修订日期：
接收日期：
引用总数：: 0

目的分析院际转运紫绀型先天性心脏病患儿中的流行病学特征,评价院际转运在患儿救治过程中的作用及效果。方法回顾性分析2016年1月—2019年12月我院院际转运的145例紫绀型先天性心脏病患儿的性别、年龄、体质量、生命体征、转运期间检测指标、支持治疗等资料。结果 145例紫绀型先天性心脏病男105例,女40例,73.1%(106/145)的转诊患儿是新生儿,59.3%(86/145)的转诊患儿来自三级医院,55.9%(81/145)的转诊患儿转诊距离在200 km以上,仅有10.3%(15/145)的转诊患儿转诊距离在50 km以内。转诊过程中44.1%(64/145)的患儿给予呼吸机辅助通气,33.1%(48/145)的患儿给予吸氧处理,仅22.1%(32/145)的患儿无需呼吸支持,所有患儿安全转运到接诊医院,入院后138例接受外科手术治疗手术康复,7例放弃治疗。结论安全、有效的院际转运紫绀型先天性心脏病是救治的关键环节,为紫绀型先天性心脏病的救治提供前提。

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