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目的探讨危重患者转运过程中呼吸心跳骤停的原因,寻求安全的转运策略,降低危重患者转运风险。方法收集同煤集团总医院2010年1月至2013年12月期间院内转运过程中出现呼吸心跳骤停的患者28例,回顾性分析其发生原因。结果脑疝(28.6%)、慢性阻塞性肺疾病急性加重(17.9%)、多脏器功能衰竭(17.9%)为导致转运时发生呼吸心跳骤停最常见的3种疾病。来源于内科系统的患者发生率明显高于急诊科和外科系统患者(4.3%比3.2%和1.6%,P<0.05),来源于急诊科的患者发生率明显高于外科系统患者(P<0.05)。结论全面的病情评估、完善的转运前准备以及专业的陪送人员和设备是提高转运安全性的重要措施。
Objective To explore the causes of sudden cardiac arrest in critically ill patients during transport and to find a safe transport strategy to reduce the risk of transfusion in critically ill patients. Methods Twenty-eight patients with respiratory arrest during intra-natal transit between January 2010 and December 2013 in Tongmei Group General Hospital were collected and their causes were retrospectively analyzed. Results Hernia (28.6%), acute exacerbation of chronic obstructive pulmonary disease (17.9%), and multiple organ failure (17.9%) were the three most common causes of respiratory arrest during transport. The incidence of patients from the medical department was significantly higher than that of the emergency department and surgical system (4.3% vs 3.2% vs 1.6%, P <0.05), and the incidence of patients from the emergency department was significantly higher than that of the surgical patients (P <0.05 ). Conclusion Comprehensive assessment of the condition, a sound pre-delivery preparation and professional accompany staff and equipment are important measures to improve the safety of transport.