中国全科医学

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水肿诊治与管理专家共识(2025)

中国老年医学学会,浙江省医学会全科医学分会,浙江省数理医学学会全科未分化疾病专委会,全科未分化疾病专家协作组   

  1. 浙江大学医学院附属第一医院全科医学科
  • 收稿日期:2025-07-02 接受日期:2025-08-05
  • 通讯作者: 任菁菁
  • 基金资助:
    国家自然科学基金资助项目(72274169)

Expert Consensus on the Diagnosis, Treatment, and Management of Edema (2025)

  • Received:2025-07-02 Accepted:2025-08-05
  • Supported by:
    National natural science foundation of China(72274169)
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摘要: 水肿是一种常见的临床问题,病因复杂且缺乏系统性临床研究数据,影响患者身心健康,给社会带来较大经济负担。本共识由全科医学、肾脏病学和心血管病学等多学科专家共同撰写,详细论述了水肿的定义、分类、流行病学、病因与病理生理机制,全面总结了水肿的诊断方法,包括详细问诊、体格检查和评估,具体阐述了水肿的个体化治疗原则和治疗措施。共识还强调了水肿的社区综合管理,包括筛查、风险评估、随访、分级转诊、健康教育及数智赋能等,同时从临床实践、教育培训和科研创新等方面提出了水肿诊治与管理的未来方向,旨在为规范开展水肿诊治和全程管理提供帮助和指导。

关键词: 水肿, 诊断, 治疗, 管理, 专家共识

Abstract: Edema is a common clinical problem with complex etiology and a lack of systematic clinical research data, affecting patients' physical and mental health and imposing a economic burden on society. This consensus was written by multidisciplinary experts including general medicine, nephrology, and cardiology. It elaborates in detail on the definition, classification, epidemiology, etiology and pathophysiological mechanism of edema, comprehensively summarizes the diagnostic methods of edema, including detailed inquiries, physical examinations, and evaluations, and specifically expounds the individualized treatment principles and measures for edema. The consensus also emphasizes the comprehensive community management of edema, including screening, risk assessment, follow-up, hierarchical referral, health education and digital intelligence empowerment. At the same time, it proposes the future directions for the diagnosis and management of edema from the perspectives of clinical practice, education and training, and scientific research innovation, aiming to provide assistance and guidance for the standardized implementation of edema diagnosis, treatment and full-process management.

Key words: Edema, Diagnosis, Treatment, Management, Expert consensus