Clinical analysis of 4 274 cases of neonatal transport

Abstract

Objective Neonatal transport can significantly improve the treatment success rate and prognosis of sick neonates. It is well organized in most developed countries but receives little attention in developing countries. The purpose of this study was to evaluate the characteristics of neonatal transport and the problems needed to be concerned, and to improve the success rate of neonatal transport and the prognosis. Method The clinical characteristics of 4 274 neonates transported to our hospital from January 1, 2016 to December 31, 2017, and the treatment plan implemented in transit were analyzed. Results Of all patients, there were 683 premature infants (15.98%), 3 591 full term infants (84.02%); 138 neonates were born within 24 hours (3.23%), 2 406 neonates (56.29%) less than 7 days, and 1 730 neonates (40.48%) 7 to 28 days old; 3 961 cases (92.68%) were from neonatal medicine, 313 cases (7.32%) from neonatal surgery. Intestinal obstruction was the most common disease among neonatal surgical diseases, followed by digestive tract malformation, and neonatal necrotizing enterocolitis. The first three diseases in neonatal internal medicine diseases were premature infants, severe pneumonia, and neonatal asphyxia. In transit, the treatment measures included oxygen inhalation, application of cardiac stimulant, anticonvulsant drug application, application of glucose injection, sputum aspiration operation, tracheal intubation. Sudden events in transit included vomiting, convulsions, apnea. Pre-transport care included resuscitation, intravenous fluid, supplemental oxygen, anticonvulsant drug application. Conclusions Neonatal transport process was well organized in our hospital. It was of great significance to improve the prognosis of the neonates in the process of preparation before and during the transit. Key words: Neonate; Transport; Clinical analysis