Bleeker J K, Rutten F L, van Leeuwen F L, Jansen Y G
Gemeentelijke Gezondheidsdienst voor Rotterdam en omstreken, afd. Epidemiologie, Rotterdam.
Ned Tijdschr Geneeskd. 1993 May 29;137(22):1091-5.
We studied the quality of ambulance transport of critically ill and wounded patients between rural hospitals and a referral centre (so-called secondary transport). The study group comprised all patients transported in the course of one year from a rural hospital in the southwestern part of the Netherlands to a centre hospital in Rotterdam (n = 59). Their records were reviewed retrospectively. A distinction was made between patients whose vital functions were acutely threatened before transport and patients in whom this was not the case. Results show that 24% of all patients were transferred inadequately. The inadequately transferred patients all belonged to the group in whom vital functions were acutely threatened. Frequently occurring shortcomings concerned oxygenation and intravenous lines. It is concluded that medical assistance by a specialist is indicated with all secondary transports, because it is difficult to predict if vital functions will be threatened during transport. Further research may be directed at the question which mode of transportation (ambulance or helicopter) is suited for long-distance interhospital transport.
我们研究了危重伤病患者在农村医院和转诊中心之间的救护车转运质量（即所谓的二次转运）。研究组包括一年内从荷兰西南部一家农村医院转运至鹿特丹一家中心医院的所有患者（n = 59）。对他们的记录进行了回顾性审查。将转运前生命功能受到急性威胁的患者与未受此影响的患者区分开来。结果显示，所有患者中有24%的转运不充分。转运不充分的患者均属于生命功能受到急性威胁的组。常见的不足之处涉及氧合和静脉输液管。得出的结论是，所有二次转运都需要专科医生的医疗协助，因为很难预测转运过程中生命功能是否会受到威胁。进一步的研究可以针对哪种运输方式（救护车或直升机）适合长途医院间转运这一问题展开。
