致命性肺血栓栓塞症急救护理专家共识

中华现代护理杂志2023年6月16日第29卷第17期Chin J Mod Nurs,Jme16.2023,Vd.29.Na17-2241··专家共识·致命性肺血栓栓塞症急救护理专家共识中国静脉介入联盟中国医师协会介入医师分会外周血管介入专业委员会国际血管联盟中国分部护理专业委员会通信作者：李燕，Email:yir803A@163.com【摘要】目的制订致命性肺血栓栓塞症急救护理专家共识（简称《共识》）。方法《共识》充分借鉴急性肺血栓栓塞症诊断和管理指南，参考国内外近10年的循证依据，结合来自全国36所医院的42名静脉血1栓栓塞症(VTE)诊治专家、急危重症及护理管理领域专家的临床实践经验，通过系统查阅文献资料、德尔菲专家函询及专家论证会议，制订本《共识》。结果《共识》内容包括肺血栓栓塞症主要致命原因、临床诊断及临床患病概率评估、临床风险评估、致命性肺血栓栓塞症临床表现、急救管理策略、介入围手术期护理、相关并发症的预防及处理、出院指导及随访等。结论《共识》具有一定的科学性和实用性，将为致命性血栓栓塞症的急诊评估、急救管理及围手术期护理提供切实可行的指导和参考依据。【关键词】肺栓塞；肺血栓栓塞症；致命性；急救：护理；专家共识基金项目：国家自然科学基金(81871463)：南京市卫生科技发展专项资金项目(YKK19086):南京市第一医院星火培育计划D0I:10.3760Wcma.j.cm115682-20221115-05533Expert consensus on emergency nursing for fatal pulmonary thromboembolismChinese Veins Interventional Alliance,Peripheral Vascular Intervention Professional Committee of theInterventional Physician Branch of the Chinese Medical Doctor Association,China Branch Nursing ProfessionalCommittee of International Union of AngiologyCorresponding author:Li Yan,Email:lyjr803A@163.comAbstract Objective To develop experts consensus on emergency nursing for fatal pulmonarythromboembolism(referred to as "Consensus").Methods The Consensus fully drew on the guidelines fordiagnosis and management of acute pulmonary thromboembolism,referred to the evidence-based basis of thepast 10 years at home and abroad,combined with the clinical practice experience of 42 medical and nursingexperts selected from 36 hospitals across the country in the field of venous thromboembolism,emergency andcritical care,nursing management,and the Consensus was developed through systematic literaturereview,Delphi expert consultation and expert demonstration meeting.Results The Consensus includedthe etiology of fatal pulmonary thromboembolism,clinical diagnosis and clinical risk assessment,clinicalsymptoms of pulmonary thromboembolism,emergency management strategy,perioperative nursing care forinterventional procedures,prevention and treatment of related complications,discharge guidance and follow-up.Conclusions The Consensus is scientific and practical,and will provide practical guidance and reference for theemergency evaluation,emergency management and perioperative nursing of fatal pulmonary thromboembolism.Key words Pulmonary embolism;Pulmonary thromboembolism;Lethality;First aid;Nursing;Expert consensusFund program:National Natural Science Foundation of China(81871463);Nanjing Health Science andTechnology Development Special Fund Project (YKK19086);Xinghuo Talent Program of Nanjing First HospitalD0I:10.3760 Vcma.j.cm115682-20221115-05533收稿日期2022-11-15本文编辑刘英引用本文：中国静脉介入联盟，中国医师协会介入医师分会外周血管介入专业委员会，国际血管联盟中国分部护理专业委员会.致命性肺血1栓栓塞症急救护理专家共识[J].中华现代护理杂志，2023,29(17)：2241-2250.D0L:10.3760/cmaj.cm115682-20221115-05533.