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中国循证儿科杂志

中国循证儿科杂志 ›› 2025, Vol. 20 ›› Issue (2): 87-94.DOI: 10.3969/j.issn.1673-5501.2025.02.002

• 指南·共识 • 上一篇    下一篇

中国西南地区危重症儿童院际转运专家共识

国家儿童区域医疗中心西南儿科重症联盟，重庆市医师协会儿童重症医师分会，中国西南地区危重症儿童院际转运专家共识专家组

 

李少军1，谭利平1，许峰1，刘成军1，胡兰1，白科1，谭继红1，李伟2，闫军2，汪万军3，蒋文良4，蒋浩4，李先强5，李坤5，张伟6，曾毅文6，王立7，张波7，陈明双8，张孝庆8，郭锐9，谭小林9，王莹10，王继书10，张智睿11，段钧12，张国英13，范忠祥14，邹莹波15，陈建丽16，付红敏17，曾娟18，陈佳19，刘娟20，石艳21，拉姆卓嘎22，泽碧22   

  1. 1 重庆医科大学附属儿童医院 重庆，400014；2 重庆市九龙坡区人民医院 重庆，400050；3 重庆市九龙坡区科学城人民医院 重庆，401329；4 重庆市大足区人民医院 重庆，402360；5 重庆市大足区妇幼保健院 重庆，402360；6 重庆医科大学附属永川医院 重庆，402160；7 重庆市云阳县人民医院 重庆，404500；8 重庆市奉节县人民医院 重庆，404600；9 重庆市梁平区人民医院 重庆，405200；10 重庆市渝北区妇幼保健院 重庆，401147；11 重庆市佑佑宝贝妇儿医院 重庆，401122；12 重庆市丰都县人民医院 重庆，408200；13 四川省成都市妇女儿童中心医院 成都，610073；14 四川省成都市温江区妇幼保健院 成都，611130；15 贵州省遵义市第一人民医院 遵义，563000；16 贵州省贵阳市妇幼保健院 贵阳，550000；17 云南省昆明市儿童医院 昆明，650034；18 陆军军医大学第一附属医院 重庆，400038；19 四川省绵阳市中心医院 绵阳，621099；20 首都医科大学附属北京安贞医院南充医院 南充，637000；21 四川省凉山彝族自治州第一人民医院 凉山，615099；22 西藏自治区人民医院 拉萨，851300


  • 收稿日期:2025-02-24 修回日期:2025-04-09 出版日期:2025-04-25 发布日期:2025-04-25
  • 通讯作者: 许峰，谭利平

Expert consensus on inter-hospital transport of critically ill children in Southwest China

Southwest Pediatric Critical Care Alliance of National Children's Regional Medical Center, Pediatric Critical Care Physician Branch of Chongqing Physician Association, Expert Consensus Group on Inter-Hospital Transport of Critically Ill Children in Southwest China

LI Shaojun1, TAN Liping1, XU Feng1, LIU Chengjun1, HU Lan1, BAI Ke1, TAN Jihong1, LI Wei2, YAN Jun2, WANG Wanjun3, JIANG Wenliang4, JIANG Hao4, LI Xianqiang5, LI Kun5, ZHANG Wei6, ZENG Yiwen6, WANG Li7, ZHANG Bo7, CHEN Mingshuang8, ZHANG Xiaoqing8, GUO Rui9, TAN Xiaolin9, WANG Ying10, WANG Jishu10, ZHANG Zhirui11, DUAN Jun12, ZHANG Guoying13, FAN Zhongxiang14, ZOU Yingbo15, CHEN Jianli16, FU Hongmin17, ZENG Juan18, CHEN Jia19, LIU Juan20, SHI Yan21, LAMUZHUOGA22, ZEBI22   

  1. 1 Children's Hospital Affiliated to Chongqing Medical University, Chongqing 400014, China; 2 Jiulongpo District People's Hospital, Chongqing 400050, China; 3 Jiulongpo District Science City People's Hospital, Chongqing 401329, China; 4 Dazu District People's Hospital, Chongqing 402360, China; 5 Dazu District Maternal and Child Health Hospital, Chongqing 402360, China; 6 Yongchuan Hospital Affiliated to Chongqing Medical University, Chongqing 402160, China; 7 Yunyang County People's Hospital, Chongqing 404500, China; 8 Fengjie County People's Hospital, Chongqing 404600, China; 9 Liangping District People's Hospital, Chongqing 405200, China; 10 Yubei District Maternal and Child Health Hospital, Chongqing 401147, China; 11 Youyou Baby Women and Children's Hospital, Chongqing 401122, China; 12 Fengdu County People's Hospital, Chongqing 408200, China; 13 Chengdu Women's and Children's Central Hospital, Chengdu 610073, China; 14 Wenjiang District Maternal and Child Health Hospital, Chengdu 611130, China; 15 Zunyi First People's Hospital, Zunyi 563000, China; 16 Guiyang Maternal and Child Health Hospital, Guiyang 550000, China; 17 Kunming Children's Hospital, Kunming 650034, China; 18 First Affiliated Hospital of Army Medical University, Chongqing 400038, China; 19 Mianyang Central Hospital, Mianyang 621099, China; 20 Nanchong Hospital of Beijing An Zhen Hospital of the Capital University of Medical Sciences, Nanchong 637000, China; 21 Liangshan Yi Autonomous Prefecture First People's Hospital, Liangshan 615099, China; 22 Xizang Autonomous Region People's Hospital, Lasa 851300, China

  • Received:2025-02-24 Revised:2025-04-09 Online:2025-04-25 Published:2025-04-25
  • Contact: XU Feng, email: xufeng9899@163.com; TAN Liping, email: tanlp0825@hotmail.com

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摘要： 中国西南地区医疗资源分布不均，危重症儿童院际转运是儿科急救医疗服务体系建设的重要环节。国家儿童区域医疗中心西南儿科重症联盟和重庆市医师协会儿童重症医师分会制定了《中国西南地区危重症儿童院际转运专家共识》。该共识基于GRADE标准提出16项推荐意见，涵盖了病情评估、转运原则、风险评估、转运方式选择、转运前准备、转运中监护与应急管理、沟通交接及质控体系等关键环节，为西南地区各级医院提供实践指导，旨在规范院际转运流程，保障转运安全。

关键词: 危重症儿童, 院际转运, 专家共识, 西南地区

Abstract: The uneven distribution of medical resources in Southwest China makes inter-hospital transport of critically ill children a critical component of pediatric emergency care systems. The Southwest Pediatric Critical Care Alliance of National Children's Regional Medical Center and the Pediatric Critical Care Physician Branch of Chongqing Physician Association have jointly developed the Expert Consensus on Inter-Hospital Transport of Critically Ill Children in Southwest China. Based on the GRADE criteria, this consensus proposes 16 recommendations covering key aspects such as condition assessment, transport principles, risk evaluation, transport modality selection, pre-transport preparation, in-transport monitoring and emergency management, communication, handover, and quality control systems. It serves as a practical guide for hospitals across the Southwest region to standardize inter-hospital transport procedures and ensure safety.

Key words: Critically ill children, Inter-hospital transport, Expert consensus, Southwestern region