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find Author "高沪" 2 results
  • 儿童脓毒症抗感染治疗的研究进展

    脓毒症是由感染导致的全身炎性反应,为儿科常见急危重症,是全球婴幼儿死亡的最主要原因。早期、适当、充分的抗感染治疗可有效阻止疾病进展,提高患儿生存率,但面对抗菌药物滥用、耐药菌增多,流行病学资料缺乏等现象,如何高效合理地开展脓毒症患者的抗感染治疗、提高抢救成功率面临巨大挑战,尤其是针对儿童这类特殊用药群体。该文从脓毒症定义、病原菌分布与耐药性、感染源控制、合理抗感染等多个方面对近年来国内外儿童脓毒症抗感染治疗的研究进展进行简要综述,从而为临床治疗提供决策依据。

    Release date:2017-05-18 01:09 Export PDF Favorites Scan
  • Effect of Regional Pediatric Transport Network on Transport and Treatment for Children in Sichuan Province

    ObjectiveTo investigate the effect of pediatric medical transport network on transport and treatment for children in Sichuan province. MethodA total of 4647 pediatric patients transported to West China Second University Hospital were recruited from January 2011 and December 2013 in our study, among whom 1 948 were admitted before the establishment of the transport network (January 2011 to August 2012) and 2 699 were admitted after the establishment of the transport network (September 2012 to December 2013). Transport modes, patient disposition and fatality were analyzed to evaluate the role of transport network in the transport and treatment for pediatric patients. ResultsThe transported patients increased significantly after the establishment of transport network (an average of 97 cases increased to 169 cases per month). After transport network was established, valid communication and telephone contact also increased significantly (the proportion increased from 20.64% to 45.28%, P<0.001). There were significant differences in the composition of patients' destination after the establishment of the transport network (P<0.001). After the establishment of transport network, the patients' hospitalized rate and admission rate increased dramatically (from 17.86% to 37.53%, 12.11% to 41.13%, respectively). The fatality decreased from 6.83% to 3.04% (P<0.001). ConclusionsRegional pediatric transport network will contribute to the treatment of pediatric patients within the region, and decrease fatality.

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