重症患者凝血功能障碍标准化评估中国专家共识  

Consensus of Chinese experts on standardized evaluation of coagulation dysfunction in severe patients

作　　者：宋景春 张伟 张磊[3] 杨军[4] 张进华[5] 周静[6] 王秋实[7] 李维勤 全军重症医学专业委员会 中国医药教育协会血栓与止血危重病专业委员会 Song Jing-chun;Zhang Wei;Zhang Lei;Yang Jun;Zhang Jin-Hua;Zhou Jing;Wang Qiu-Shi;Li Wei-Qin;People’s Liberation Army Professional Committee of Critical Care Medicine;Chinese Society of Thrombosis,Hemostasis and Critical Care,Chinese Medicine Education Association(Department of Critical Care Medicine,the 908th Hospital of Joint Logistics Support Forces of Chinese PLA,Nanchang 330002,China;Department of Emergency,the 900th Hospital of Joint Logistics Support Forces of Chinese PLA,Fuzhou 350000,China;Department of Clinical Laboratory,the Second Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710001,China;Department of Clinical Laboratory,Wuhan Asian Heart Hospital,Wuhan 430003,China;Department of Pharmacy,Union Hospital Affiliated to Fujian Medical University,Fuzhou 350001,China;Department of Clinical Laboratory,West China Hospital Affiliated to Sichuan University,Chengdu 332001,China;Department of Blood Transfusion,Shengjing Hospital Affiliated to China Medical University,Shenyang 110004,China;Department of Critical Care Medicine,General Hospital of Eastern Theater Command of Chinese PLA,Nanjing 210002,China;不详)

机构地区：[1]解放军联勤保障部队第908医院重症医学科,南昌330002 [2]解放军联勤保障部队第900医院急诊科,福州350000 [3]西安交通大学第二附属医院检验科,西安710001 [4]武汉亚洲心脏病医院检验科,武汉430022 [5]福建医科大学附属协和医院药学科,福州350001 [6]四川大学附属华西医院检验科,成都332001 [7]中国医科大学附属盛京医院输血科,沈阳110004 [8]解放军东部战区总医院重症医学科,南京210002 [9]不详

出　　处：《解放军医学杂志》2022年第2期107-117,共11页Medical Journal of Chinese People's Liberation Army

摘　　要：40%以上的重症患者会发生凝血功能障碍,合并凝血功能障碍的重症患者出血不良事件、输血量及病死率可升高4倍以上。早期识别凝血功能障碍并准确评估凝血功能,是尽快纠正凝血功能障碍的前提及保障,但目前国内外尚缺乏如何快速、准确评估重症患者凝血功能障碍的标准。为此,全军重症医学专业委员会联合中国医药教育协会血栓与止血危重病专业委员会组织临床专家共同制定了《重症患者凝血功能障碍标准化评估中国专家共识》。本共识包括重症患者凝血功能障碍的有关概念、评估方法及诊断标准3个部分,共12条推荐意见,以期为临床工作提供相应指导。Coagulation dysfunction occurs in more than 40% of severe patients.The adverse bleeding events,blood transfusion volume and mortality of severe patients with coagulation dysfunction may be increased by more than 4 times.Early recognition of the coagulation dysfunction and accurate evaluation of coagulation function are the premise and guarantee of correcting the coagulation dysfunction as soon as possible.However,there is still a lack of standards for rapid and accurate evaluation of coagulation dysfunction in severe patients at home and abroad.Therefore,the People’s Liberation Army Professional Committee of Critical Care Medicine and Chinese Society on Thrombosis,Hemostasis and Critical Care of China Medicine Education Association jointly formulate this consensus.The related concepts,evaluation methods and diagnostic criteria of coagulation dysfunction in severe patients have been included in the present paper in order to provide corresponding guidance for clinical work.

关 键 词：重症 凝血功能障碍 标准 评估 

分 类 号：R554[医药卫生—血液循环系统疾病]