Objective To build pre-hospital critical neonates referral system in Heyuan city and to explore a suitable referral system . Methods We built a pre-hospital critical neonates referral system , which enrolled our neonatal intensive care unit as the network center and 40 primary hospitals in Heyuan city as members , to refer critical neonates. Results 409 critical neonates were referred in 2 years and no one died on the way. The mortality of refering critical neonates dropped from 5. 88% in 2011 to 1.47% in 2012. The proportion of referred patients to NICU patients in the same period and the bed utilization rates increased year by year since the start of referral work , and 351 cases were cured (85. 82% ) ,46 cases gave up treatment (11. 25%),12 cases died (2. 93% ). The mortality of neonates decreased year by year after the start of referral work in 40 primary hospitals enrolled in referral networks , and the differences were signifi -cant(x =22. 14 ,P <0.01). Conclusion Building pre-hospital critical neonates referral system can improve rescue success rate of neo -nates in our city, which is very important to reduce the neonatal mortality and to improve the life quality of critical neonates . Regional NETS is a suitable critical neonates referral mode for this region .%目的 建立河源市区域性危重新生儿院前转运系统,探讨适合该市危重新生儿急救转运模式.方法 建立以该院新生儿重症监护中心(NICU)为网络中心,河源市共40家基层医院为成员单位的区域性危重新生儿院前转运网络,通过危重新生儿院前转运系统对新生儿进行转运.结果 2年来共转运409例危重新生儿,且无1例在途中死亡,转运新生儿死亡率从2011年的5.88%降至2012年的1.47%.转运病人数占同期NICU住院病人的比例及床位使用率逐年增高,治愈351例(治愈率为85.82%),放弃治疗46例(11.25%),死亡人数12例(2.93%).转运网络中40家基层医院在实施转运工作后,新生儿死亡率逐年下降,差异有显著性(χ2=22.14,P<0.01).结论 建立区域性危重新生儿院前转运系统可以提高该市新生儿抢救成功率,对降低新生儿死亡率,改善危重新生儿远期生活质量有着重要意义,区域性的NETS是适合该地区的危重新生儿转运模式.
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