危重患者院内转运呼吸心跳骤停原因分析及对策_Chinese Journal of Respiratory and Critical Care Medicine

Authors：

 乔智灏 , 门志强 , 贾树宝

同煤集团总医院重症医学科(山西大同 037003);

Corresponding author：

乔智灏, Email: q070830@126.com

Keywords：

危重患者; 院内转运; 呼吸心跳骤停

DOI：

10.7507/1671-6205.2015022

Video：

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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。

Citation： 乔智灏, 门志强, 贾树宝. 危重患者院内转运呼吸心跳骤停原因分析及对策. Chinese Journal of Respiratory and Critical Care Medicine, 2015, 14(1): 91-92. doi: 10.7507/1671-6205.2015022 Copy

1.	中华医学会重症医学分会.《中国重症患者转运指南(2010)》(草案).中国危重病急救医学, 2010, 22:328-330.
2.	Beckmann U, Gillies DM, Berenholtz SM, et al.Incidents relating to the intra-hospital transfer of critically ill patients.An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care.Intensive Care Med, 2004, 30:1579-1585.
3.	刘大为.重症患者转运的专业化:一个移动ICU.中国危重病急救医学, 2010, 22:321-322.
4.	Wallace PG, Ridley SA.ABC of intensive care.Transport of critically ill patients.BMJ, 1999, 319:368-371.
5.	Fanara B, Manzon C, Barbot O, et al.Recommendations for the intra-hospital transport of critically ill patients.Critical Care, 2010, 14:R87.
6.	Shirley PJ, Bion JF.Intra-hospital transport of critically ill patients:minimising risk.Intensive Care Med, 2004, 30:1508-1510.
7.	Voigt LP, Pastores SM, Raoof ND, et al.Review of a large clinical series:Intrahospital transport of critically ill patients:Outcomes, timing, and patterns.J Intensive Care Med, 2009, 24:108-115.
8.	Mazza BF, Amaral JL, Rosseti H.Safety in intrahospital transportation:Evaluation of respiratory and hemodynamic parameters.A prospective cohort study.Sao Paulo Med J, 2008, 126:319-322.
9.	Lahner D, Nikolic A, Marhofer P, et al.Incidence of complications in intrahospital transport of critically ill patients-Experience in an Austrian university hospital.Wien Klin Wochenschr, 2007, 119:412-416.
10.	Velmahos GC, Demetriades D, Ghilardi M, et al.Life support for trauma and transport:a mobile ICU for safe in-hospital transport of critically injured patients.J Am Coll Surg, 2004, 199:62-68.
11.	van Lieshout EJ, de Vos R, Binnekade JM, et al.Decision making in interhospital transport of critically ill patients:national questionnaire survey among critical care physicians.Intensive Care Med, 2008, 34:1269-1273.
12.	Warren J, Fromm RE Jr, Orr RA, et al.Guidelines for the inter-and intra-hospital transport of critically ill patients.Crit Care Med, 2004, 32:256-262.
13.	Bellingan G, Olivier T, Batson S, et al.Comparison of a specialist retrieval team with current United Kingdom practice for the transport of critically ill patients.Intensive Care Med, 2000, 26:740-744.

1. 中华医学会重症医学分会.《中国重症患者转运指南(2010)》(草案).中国危重病急救医学, 2010, 22:328-330.
2. Beckmann U, Gillies DM, Berenholtz SM, et al.Incidents relating to the intra-hospital transfer of critically ill patients.An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care.Intensive Care Med, 2004, 30:1579-1585.
3. 刘大为.重症患者转运的专业化:一个移动ICU.中国危重病急救医学, 2010, 22:321-322.
4. Wallace PG, Ridley SA.ABC of intensive care.Transport of critically ill patients.BMJ, 1999, 319:368-371.
5. Fanara B, Manzon C, Barbot O, et al.Recommendations for the intra-hospital transport of critically ill patients.Critical Care, 2010, 14:R87.
6. Shirley PJ, Bion JF.Intra-hospital transport of critically ill patients:minimising risk.Intensive Care Med, 2004, 30:1508-1510.
7. Voigt LP, Pastores SM, Raoof ND, et al.Review of a large clinical series:Intrahospital transport of critically ill patients:Outcomes, timing, and patterns.J Intensive Care Med, 2009, 24:108-115.
8. Mazza BF, Amaral JL, Rosseti H.Safety in intrahospital transportation:Evaluation of respiratory and hemodynamic parameters.A prospective cohort study.Sao Paulo Med J, 2008, 126:319-322.
9. Lahner D, Nikolic A, Marhofer P, et al.Incidence of complications in intrahospital transport of critically ill patients-Experience in an Austrian university hospital.Wien Klin Wochenschr, 2007, 119:412-416.
10. Velmahos GC, Demetriades D, Ghilardi M, et al.Life support for trauma and transport:a mobile ICU for safe in-hospital transport of critically injured patients.J Am Coll Surg, 2004, 199:62-68.
11. van Lieshout EJ, de Vos R, Binnekade JM, et al.Decision making in interhospital transport of critically ill patients:national questionnaire survey among critical care physicians.Intensive Care Med, 2008, 34:1269-1273.
12. Warren J, Fromm RE Jr, Orr RA, et al.Guidelines for the inter-and intra-hospital transport of critically ill patients.Crit Care Med, 2004, 32:256-262.
13. Bellingan G, Olivier T, Batson S, et al.Comparison of a specialist retrieval team with current United Kingdom practice for the transport of critically ill patients.Intensive Care Med, 2000, 26:740-744.

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危重患者院内转运呼吸心跳骤停原因分析及对策

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