重症患者中心静脉导管管理中国专家共识（2022版）

中华消化外科杂志2022年3月第21卷第3期Chin J Dig Surg,Mah2022.Vdl.21,Na.3·313·指南与共识重症患者中心静脉导管管理中国专家共识(2022版)亚洲急危重症协会中国腹腔重症协作组通信作者：郭丰，浙江大学医学院附属邵逸夫医院重症医学科，杭州310016，Email:3408003@zju.edu.cn;蒋正英，重庆大学附属肿瘤医院重症医学科，重庆400030，Email:hengyingjiang@cqu.edu.cn;李雏勤，解放军东部战区总医院重症医学科，南京201002,Email:liweiqindr@vip.163.com【摘要】中心静脉置管已成为重症医学科的基本技术，可监测血流动力学及用作输液通路。随着科技的进步，新型血管内导管及辅助医用耗材逐步应用于临床。为规范重症患者中心静脉导管管理策略，亚洲急危重症协会中国腹腔重症协作组专家撰写《重症患者中心静脉导管管理中国专家共识(2022版)》，内容包括导管的类型及特性、置管及日常维护操作、导管相关常见并发症处理等，以期为临床工作提供具有可操作性建议。【关键词】重症医学；中心静脉通路；中心静脉导管：管理；专家共识Chinese expert consensus on management of central venous catheters for critically ill patients(2022 edition)Chinese Abdominal Intensive Care Association,Asia Society of Emergency and Critical Care MedicineCorresponding authors:Guo Feng,Department of Critical Care Medicine,Sir Run Run Shaw Hospital,Zhejiang University School of Medicine,Hangzhou 310016,China,Email:3408003@zju.edu.cn;Jiang Zhengying,Department of Critical Medicine,Chongqing University Cancer Hospital,Chongqing400030,China,Email:zhengyingjiang @cqu.edu.cn;Li Weigin,Department of Critical Medicine,GeneralHospital of Eastern Theater Command,Nanjing 201002,China,Email:liweiqindr@vip.163.comAbstract Central venous catheterization is a basic technique in the department of criticalcare medicine,serving as a pathway for hemodynamic monitoring and fluid infusion.With theadvancement of science and technology,new intravascular catheters and auxiliary medicalconsumables are gradually applied in clinical practice.In order to standardize the managementstrategy of central venous catheters for critically ill patients,experts from the Chinese AbdominalIntensive Care Association of Asia Society of Emergency and Critical Care Medicine have written theChinese expert consensus on management of central venous catheters for critically ill patients (2022edition),which includes the types and characteristics of catheters,catheter placement and routinemaintenance operations,treatment of the catheter-related complications,etc.,in order to providepractical suggestions for clinical work.Key words Critical care medicine;Central vascular access device;Central venouscatheter;Management;Expert consensus随着静脉输液技术的快速发展及医护人员操学科的基本技术，应用越来越普遍。同时，随着医作水平的不断提高，中心静脉置管术已成为重症医学、药学、材料学等学科的发展，各种新型血管内导D01:103760/cma.i.cm115610-20220208-00068收稿日期2022-02-08引用本文：亚洲急危重症协会中国腹腔重症协作组.重症患者中心静脉导管管理中国专家共识(2022版)[0.中华消化外科杂志，2022,21(3：313-322.D0L:10.3760cmaj.ml15610-20220208-00068.