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中华医学会新型冠状病毒肺炎诊治专家共识(第七版)

Chinese expert consensus on diagnosis and treatment of coagulation dysfunction in COVID-19.

机构信息

Department of Critical Care Medicine, the 908th Hospital of Joint Logistics Support Forces of Chinese PLA, Nanchang, 330002, China.

Department of Critical Care Medicine, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710001, China.

出版信息

Mil Med Res. 2020 Apr 20;7(1):19. doi: 10.1186/s40779-020-00247-7.

Abstract

Since December 2019, a novel type of coronavirus disease (COVID-19) in Wuhan led to an outbreak throughout China and the rest of the world. To date, there have been more than 1,260,000 COVID-19 patients, with a mortality rate of approximately 5.44%. Studies have shown that coagulation dysfunction is a major cause of death in patients with severe COVID-19. Therefore, the People's Liberation Army Professional Committee of Critical Care Medicine and Chinese Society on Thrombosis and Hemostasis grouped experts from the frontline of the Wuhan epidemic to come together and develop an expert consensus on diagnosis and treatment of coagulation dysfunction associated with a severe COVID-19 infection. This consensus includes an overview of COVID-19-related coagulation dysfunction, tests for coagulation, anticoagulation therapy, replacement therapy, supportive therapy and prevention. The consensus produced 18 recommendations which are being used to guide clinical work.

摘要

自 2019 年 12 月以来,武汉发生的一种新型冠状病毒病(COVID-19)导致中国乃至世界其他地区爆发疫情。迄今为止,已有超过 126 万 COVID-19 患者,死亡率约为 5.44%。研究表明,凝血功能障碍是重症 COVID-19 患者死亡的主要原因。因此,中国人民解放军重症医学专业委员会和中华医学会血栓与止血分会组织武汉疫情一线专家共同制定了关于重症 COVID-19 感染相关凝血功能障碍的诊断和治疗的专家共识。该共识包括 COVID-19 相关凝血功能障碍概述、凝血试验、抗凝治疗、替代治疗、支持治疗和预防等内容。共识提出了 18 条建议,这些建议正在用于指导临床工作。

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