Saule H, Riegel K, Beltinger C
2nd Children's Hospital, Augsburg, West Germany.
J Perinat Med. 1987;15(6):515-21. doi: 10.1515/jpme.1987.15.6.515.
In order to assess the effectiveness of neonatal transport systems, morbidity on admission and early neonatal mortality of low birth weight infants below 2000 gm were studied. All infants referred to a neonatal department in Munich or Southern Bavaria from 1979 to 1981 were included. The data of infants born in Munich perinatal centers were compared to those of infants delivered in hospitals in the Munich area (radius 30 km) and in other hospitals in Southern Bavaria. Ninety-four percent of 248 LBW neonates born in the Munich perinatal centers, 87.5% of 736 infants and 84.4% of 681 LBW infants from the Munich area and Southern Bavaria respectively survived the first week of life although the morbidity risks of inborn infants were higher than those of the outborn. The presence of a pediatrician at birth and during neonatal transport to an NICU did not improve survival rates of infants delivered outside the perinatal centers. The effectiveness of neonatal transport systems is limited. They should be complemented by a maternal transport system, i.e., an infant transport in utero for cases in which the necessity for intensive neonatal care is expected.
为评估新生儿转运系统的有效性，对出生体重低于2000克的低体重婴儿入院时的发病率和早期新生儿死亡率进行了研究。纳入了1979年至1981年间转诊至慕尼黑或巴伐利亚南部新生儿科的所有婴儿。将慕尼黑围产期中心出生的婴儿数据与慕尼黑地区（半径30公里）医院及巴伐利亚南部其他医院出生的婴儿数据进行了比较。慕尼黑围产期中心出生的248例低体重新生儿中，94%存活至生后第一周；慕尼黑地区和巴伐利亚南部的736例婴儿中，87.5%存活；681例低体重婴儿中，84.4%存活。尽管出生婴儿的发病风险高于院外出生婴儿，但出生时及新生儿转运至新生儿重症监护病房（NICU）期间有儿科医生在场并未提高围产期中心以外分娩婴儿的存活率。新生儿转运系统的有效性有限。它们应由产妇转运系统加以补充，即在预计需要新生儿重症监护的情况下，进行子宫内婴儿转运。
