解放军医学杂志2025,Vol.50Issue(9):1055-1069,15.DOI:10.11855/j.issn.0577-7402.1480.2025.0820
重症凝血病标准化评估中国专家共识(2025版)
Chinese expert consensus on standardized assessment of severe coagulopathy(2025 edition)
摘要
Abstract
Over 40%of critically ill patients will develop coagulopathy.Once critically ill patients are complicated with coagulopathy,the incidence of bleeding and mortality can increase by more than 4 times.Early identification of coagulopathy and accurate evaluation of coagulation function are essential for correcting coagulopathy as soon as possible.Therefore,Chinese Society of Thrombosis,Hemostasis and Critical Care,Chinese Medicine Education Association,together with Chinese People's Liberation Army Professional Committee of Critical Care Medicine updated the"Chinese expert consensus on standardized assessment of severe coagulopathy(2025 Edition)"on the basis of the"Consensus of Chinese experts on standardized evaluation of coagulation dysfunction in severe patients"formulated in 2022.This consensus includes four parts:classification and typing,etiology and mechanism,assessment methods,and diagnostic criteria of severe coagulopathy,with a total of 14 recommendations,aiming to provide corresponding guidance for clinical practice.关键词
重症/凝血障碍/凝血衰竭/标准/四步诊断法Key words
critical illness/coagulopathy/coagulation failure/standard/four-step diagnostic approach分类
医药卫生引用本文复制引用
宋景春,中国医药教育协会血栓与止血危重病专业委员会,全军重症医学专业委员会,郭军,张磊,丁仁彧,王岗,张伟,周静,柯路,张进华..重症凝血病标准化评估中国专家共识(2025版)[J].解放军医学杂志,2025,50(9):1055-1069,15.基金项目
This work was supported by the National Key Research and Development Program of China(2022YFC2304600) 国家重点研发计划(2022YFC2304600) (2022YFC2304600)