《美国胸科医师学院第10版静脉血栓栓塞症抗栓 治疗指南》解读 静脉血栓栓塞症初始治疗.pdfVIP

2016年8月第36卷第8期 中国实用内科杂志 665 指南与共识 《美国胸科医师学院第10版静脉血栓栓塞症抗栓 治疗指南》解读：静脉血栓栓塞症初始治疗 黄? 可，万? 钧，翟振国，王? 辰 DOI：10.7504/nk2016070201??中图分类号：R563.5??文献标识码：A 摘要 ：2016 年 1 月，美国胸科医师学院更新出版了第10 版静脉血栓栓塞症抗栓治疗指南 ( 新版指南 )。新版指南在 第 9 版指南的 12 个临床问题的基础上，新增了3 个临床问题，涵盖了静脉血栓栓塞症的溶栓治疗、抗凝治疗、介入治 疗、新型抗凝药物、恶性肿瘤相关肺栓塞等问题。新版指南基础临床研究结果共提出50 条推荐意见，其中20 条推荐 意见为强推荐。文章就静脉血栓栓塞症的初始治疗问题进行解读。 关键词 ：静脉血栓栓塞症 ；抗栓治疗；初始治疗 Interpretation of the 10th edition of antithrombotic treatment guidelines for venous thromboembolism by American College of Chest Physicians: initial therapy for venous thromboembolism.??HUANG Ke, WAN Jun, ZHAI Zhen-guo, WANG Chen. Department of Pulmonary and Critical Care Medicine, China-Japan Friendship Hospital, Beijing 100029, China Corresponding author: WANG Chen, E-mail: cyh-birm@263.net Abstract: In January 2016, American College of Chest Physicians published the 10th edition of antithrombotic guideline for venous thromboembolism (VTE). They updated recommendation on 12 topics that were in the 9th edition and addressed 3 new topics, including thrombolysis, anticoagulation, intervention, new oral anticoagulation and VTE associated with cancer. The new guidline made 50 recommendations and 20 of them were strong. In this paper, it interpreted recommendations concerning initial therapy of VTE. Keywords: venous thromboembolism; antithrombotic therapy; initial therapy 静脉血栓栓塞症 (VTE)包括肺血栓栓塞症 1? 急性 PTE 的全身溶???治疗和导管介入溶栓治疗 (PTE) 和深静脉血栓形成 (DVT)，是一种严重影响患 者健康的常见疾病。在国内医学同道的共同努力和 急性 PTE 患者短期病死率与其严重程度有关，