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[新生儿转运。关于114例病例]

[Transport of newborn infants. Apropos of 114 cases].

作者信息

Krajevitch A, Blot P, Cara M

出版信息

Ann Anesthesiol Fr. 1975;16 Spec No 1:135-42.

PMID:2071
Abstract

The transport of 114 newborn less than 24 hours old carried out in 1972 and 1973 by the Paris SAMU (Professor M. CARA'S Unit) is studied. (he delay of arrival of the medical team is on the average one hour, the child arrives in the Resuscitation center approximately two and a quarter hours after the call. In 15 cases an umbilical catheter was put in place; in 27 cases the child was intubated, artificial ventilation was carried out during transport. On arrival, from the mean values, the temperature was 25.2 degrees, the pH 7.28, the pO2 112, the blood sugar 1.53 g.Three practical conclusions must be drawn: reserve high risk deliveries for specialized centers, when the degree of emergency compells delivery in a badly equipped center, contact the SAMU from the beginning of labour, render the actions carried out by the transporting doctor even more rigorous and controled, which implies an organized SMUR which is well equipped and trained.

摘要

对1972年和1973年由巴黎急救医疗服务中心(M. 卡拉教授团队)转运的114名出生不到24小时的新生儿进行了研究。医疗团队的平均到达延迟为1小时,患儿在呼叫后约两小时十五分钟到达复苏中心。15例放置了脐静脉导管;27例患儿进行了插管,转运期间进行了人工通气。到达时,平均体温为25.2摄氏度,pH值为7.28,氧分压为112,血糖为1.53克。必须得出三个实际结论:将高危分娩保留给专业中心;当紧急程度迫使在设备简陋的中心进行分娩时,从分娩开始就联系急救医疗服务中心;使转运医生实施的操作更加严格且可控,这意味着要有一个装备精良且训练有素的有组织的快速反应急救小组。

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