引用本文:黄云霞,康雅静,林慧娟,林 勤.肿瘤相关静脉血栓栓塞症的风险评估及预防策略
——基于放疗科“无栓病房”的临床实践[J].中国临床新医学,2022,15(4):298-303.
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肿瘤相关静脉血栓栓塞症的风险评估及预防策略
——基于放疗科“无栓病房”的临床实践
黄云霞,康雅静,林慧娟,林 勤
361003 福建,厦门大学附属第一医院肿瘤放疗科,厦门市肿瘤中心,厦门市放射肿瘤学重点实验室,福建医科大学第三临床医学院
摘要:
[摘要] 肿瘤相关静脉血栓栓塞症(CAT)是指恶性肿瘤合并静脉血栓栓塞症,包括深静脉血栓形成、浅表性血栓静脉炎和肺栓塞,是肿瘤患者常见的并发症和死亡原因。肿瘤疾病存在复杂性,血栓风险和出血风险随肿瘤类型、分期和疾病进展而变化。“无栓病房”是一种全新的医护管理模式,对住院患者采用静脉血栓栓塞症风险评估表进行评分,根据评估结果将患者分为低危和高危患者并进行适当干预,以更好地监测患者的实时栓塞风险,及早预防静脉血栓栓塞症的发生。通过打造“无栓病房”,有效提高医护人员对血栓的诊疗水平,强化患者和家属对血栓的认识。该文基于该院放疗科“无栓病房”的临床实践,对CAT的现状、风险评估以及预防策略进行综述。
关键词:  肿瘤相关静脉血栓栓塞症  风险评估  预防  无栓病房
DOI:10.3969/j.issn.1674-3806.2022.04.04
分类号:R 730.6
基金项目:福建省自然科学基金项目(编号:2020J011220);厦门市医疗卫生重点项目(编号:3502Z20209002)
Risk assessment and prevention strategy of cancer-associated venous thromboembolism—based on the clinical practice of “thrombosis-free ward” in the radiotherapy department
HUANG Yun-xia, KANG Ya-jing, LIN Hui-juan, et al.
Department of Radiation Oncology, the First Affiliated Hospital of Xiamen University,Xiamen Cancer Center, Xiamen Key Laboratory of Radiation Oncology, the Third Clinical Medical College, Fujian Medical University, Fujian 361003, China
Abstract:
[Abstract] Cancer-associated venous thromboembolism(CAT) refers to malignant tumor complicated with venous thromboembolism, including deep vein thrombosis, superficial thrombophlebitis and pulmonary embolism. It is a common complication and cause of death in tumor patients. Tumor diseases are complex, and the risk of thrombosis and bleeding varies with tumor type, stage and disease progression.“Thrombosis-free ward” is a brand-new medical management mode. The inpatients are scored by using a venous thromboembolism risk assessment form and are divided into low-risk and high-risk patients according to the assessment results, and then appropriate interventions are carried out to better monitor the real-time embolism risk of the patients and prevent the occurrence of venous thromboembolism as soon as possible. Through the establishment of “thrombosis-free ward”, the medical staff can effectively improve the diagnosis and treatment level of thrombosis, and strengthen the awareness of the patients and their families about thrombosis. Based on the clinical practice of “thrombosis-free ward” in the radiotherapy department of our hospital, this paper reviews the current situation, risk assessment and prevention strategies of CAT.
Key words:  Cancer-associated venous thromboembolism(CAT)  Risk assessment  Prevention  Thrombosis-free ward