ICU危重患者静脉血栓栓塞症预防策略

doi:10.16352/j.issn.1001-6325.2024.07.0906

基础医学与临床 ›› 2024, Vol. 44 ›› Issue (7): 906-911.doi: 10.16352/j.issn.1001-6325.2024.07.0906

• 特邀专题：静脉血栓栓塞症 • 上一篇下一篇

ICU危重患者静脉血栓栓塞症预防策略

谢芳菲¹, 李双玲^1*, 王春梅²

1.北京大学第一医院重症医学科,北京 100034;
2.首都医科大学宣武医院重症医学科,北京 100053

收稿日期:2024-04-22 修回日期:2024-05-20 出版日期:2024-07-05 发布日期:2024-06-26
通讯作者: ^*lishuangling888@hotmail.com
基金资助:
国家临床重点专科建设项目(2023-141);首都卫生发展科研专项(首发2022-2-2016)

Prevention strategies of venous thromboembolism in critically ill ICU patients

XIE Fangfei¹, LI Shuangling^1*, WANG Chunmei²

1. Department of Critical Care Medicine, Peking University First Hospital, Beijing 100034;
2. Department of Critical Care Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, China

Received:2024-04-22 Revised:2024-05-20 Online:2024-07-05 Published:2024-06-26
Contact: ^*lishuangling888@hotmail.com

摘要/Abstract

摘要： 静脉血栓栓塞症(VTE)包括深静脉血栓形成(DVT)和肺栓塞(PE)。重症监护病房(ICU)患者常合并诸多诱发VTE的危险因素,是发生VTE的高危人群。危重患者的VTE预防策略至关重要,包括识别危险因素、血栓与出血风险评估、机械预防和药物预防、效果监测、质量控制等措施。ICU患者VTE发生风险高,其出血风险亦不容忽视,综合评估危重患者血栓与出血风险并给予及时有效的预防和监测措施,是ICU医师所面临的焦点问题。本文对危重患者VTE预防策略相关研究进展进行综述,旨在为危重患者的VTE预防管理提供临床依据。

关键词: 静脉血栓栓塞症, 危重患者, 风险评估, 血栓预防策略

Abstract: Venous thromboembolism (VTE) includes deep venous thrombosis (DVT) and pulmonary embolism (PE). Patients in intensive care unit (ICU) are often at a high risk of VTE due to combining many risk factors. Prevention strategies of VTE in critically ill patients are crucial, including identification of risk factors, the risk assessment of thrombosis and bleeding, mechanical prophylaxis and drug prophylaxis, effect monitoring, and quality control. Since the risk of VTE in ICU patients is high, the risk of bleeding should not be ignored. It is a challenge for ICU physicians to comprehensively evaluate the risk of thrombosis and bleeding in critically ill patients and implement effective preventive and monitoring measures in time. This article reviews the relevant research progress on prevention strategies of VTE in critically ill patients in order to provide clinical evidence for the prophylaxis of VTE in critically ill patients.

Key words: venous thromboembolism, critically ill patients, risk assessment, thromboprophylaxis strategy

中图分类号:

R543.6

谢芳菲, 李双玲, 王春梅. ICU危重患者静脉血栓栓塞症预防策略[J]. 基础医学与临床, 2024, 44(7): 906-911.

XIE Fangfei, LI Shuangling, WANG Chunmei. Prevention strategies of venous thromboembolism in critically ill ICU patients[J]. Basic & Clinical Medicine, 2024, 44(7): 906-911.

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ICU危重患者静脉血栓栓塞症预防策略

Prevention strategies of venous thromboembolism in critically ill ICU patients

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