消化系统肿瘤血管通路装置安全管理专家共识(2024)  

Expert consensus on safety management of vascular access devices for patients with digestive system cancer (2024)

作　　者：中国医疗保健国际交流促进会临床营养健康学分会 中国营养学会临床营养分会 中华医学会肠外肠内营养学分会 陈伟[2] 江华[3] 陈鄢津[4] 孙文彦 唐小丽[6] 王宇 王璐[7] 王志伟 张龙[8] 朱明炜[9] 庄则豪 China International Exchange and Promotive Association for Medical and Health Care Clinical Nutrition Health Branch;Clinical Nutrition Branch of Chinese Nutrition Society;Chinese Society for Parenteral and Enteral Nutrition;Chen Wei;Jiang Hua(不详;Department of Clinical Nutrition,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China;Institute for Emergency and Disaster Medicine,Sichuan Academy of Medical Sciences,Sichuan Provincial People's Hospital,School of Medicine,University of Electronic Science and Technology of China,Chengdu 610072,China)

机构地区：[1]不详 [2]中国医学科学院、北京协和医学院、北京协和医院临床营养科,北京100730 [3]电子科技大学附属医院、四川省人民医院急诊医学与灾难医学研究所,成都610072 [4]天津市南开医院 [5]中国医学科学院、北京协和医学院、北京协和医院 [6]四川省肿瘤医院 [7]电子科技大学附属医院、四川省人民医院 [8]北京大学第三医院 [9]北京医院 [10]福建医科大学附属第二医院

出　　处：《中华外科杂志》2024年第7期637-647,共11页Chinese Journal of Surgery

基　　金：国家自然科学基金(72074222);北京协和医院中央高水平医院临床科研专项(2022-PUMCH-B-031)。

摘　　要：合理选择并规范管理血管通路装置是消化系统肿瘤临床治疗中亟须解决的重要问题。为制定针对消化系统肿瘤患者的静脉血管通路装置安全管理方案,中国医疗保健国际交流促进会临床营养健康学分会、中国营养学会临床营养分会、中华医学会肠外肠内营养学分会组织我国相关领域专家按照循证医学原则,以当前最佳证据为依据,结合国内临床实践经验制定本共识,围绕消化系统肿瘤患者诊疗过程中如何选择血管通路装置、如何选择经外周置入中心静脉导管的适宜穿刺部位及如何确定穿刺后尖端位置、中心静脉置管后并发症的预防与治疗、中心静脉血管通路装置堵管的预防与治疗、中心静脉血管通路装置的拔管指征、消化系统肿瘤患者静脉治疗时使用输液港的适应证及消化系统肿瘤患者应用外周静脉置管的指征等给出推荐意见。The rational selection and standardized management of vascular access devices is an urgent issue in the treatment of digestive system cancer.The purpose of this consensus is to develop solutions for the safe management of intravenous vascular access devices for patients with digestive system cancer and to provide evidence for clinical decision-making.This consensus is developed by a group of experts from multiple-disciplines in China International Exchange and Promotive Association for Medical and Health Care Clinical Nutrition Health Branch,Clinical Nutrition Branch of Chinese Nutrition Society,Chinese Society for Parenteral and Enteral Nutrition.It is based on the best current evidence and combined with Chinese clinical practice experience.The recommendations were discussed and on the following topics:how to choose vascular access devices for patients with digestive system cancer;optimal selection of puncture sites and positioning of the tip for peripherally inserted central catheters;prevention and management of complications post-central venous catheterization;strategies for prevention and treatment of central venous catheter occlusion;criteria for central venous catheter removal;indications for the use of venous port access and criteria for peripheral venous catheter in patients with digestive system cancer.

关 键 词：消化系统肿瘤 导管插入术 血管通路 输注 静脉内 

分 类 号：R735[医药卫生—肿瘤]