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调查浙江省ICU静脉血栓栓塞症（VTE）的防治现状，为进一步提高VTE评估、防治及改善VTE管理体系提供参考。采用自拟调查问卷，调查浙江省41家三甲医院ICU，内容包括参与调查医院ICU基本信息，VTE评估、防治和管理体系建设情况，问卷全部有效。41家ICU总体以综合性ICU为主，医师/床位比为0.52∶1，护士/床位比为2.12∶1，康复治疗师/床位比为0.03∶1。85.4%（35/41）家ICU在24 h内完成VTE风险评估， 71.4%（25/35）家ICU选择Caprini评分表评估VTE风险，92.7%（38/41）家ICU配备床旁超声机；97.6%（40/41）家医院机械预防选择配有间歇充气加压装置，间歇充气加压装置床位比为0.22∶1；92.7%（38/41）家ICU VTE治疗首选低分子肝素。已建立医院和ICU内VTE防治规章制度的有92.7%（38/41）和87.8%（36/41），设立医院和ICU内VTE防治小组的有75.6%（31/41）和58.5%（24/41），建立院内VTE多学科体系的有68.3%（28/41）。不同医院ICU的VTE防治体系建设层次不齐，ICU内VTE风险评估量表的选择缺乏统一标准，VTE机械预防配置率有待进一步提高，ICU医护人员的VTE筛查、评估及防治能力有待进一步加强。“,”To investigate the prophylaxis and treatment of venous thromboembolism (VTE) in intensive care units (ICU) in Zhejiang Province. A cross-sectional questionnaire survey for ICUs doctors was conducted online at 41 tertiary hospitals in Zhejiang Province, which included basic information of ICUs, VTE-related installations, knowledge and monitoring system. The data collected from the questionnaire were summarized and analyzed. Most ICUs were comprehensive. The ratio of physicians to beds, ratio of nurses to beds, and the ratio of rehabilitation physicians to beds were 0.52∶1, 2.12∶1, and 0.03∶1 respectively. Thirty-five over 41 (85.4%) ICUs completed VTE risk assessment within 24 hours. Twenty-five over 35 ICUs (71.4%) chose the Caprini model to assess VTE risk. Ultrasound was preferred in 92.7% (38/41) of ICUs equipped ultrasound. Almost all (40/41, 97.6%) of hospitals possessed intermittent pneumatic compression (IPC) as mechanical prophylaxis. The ratio of IPC to bed was 0.22∶1. Low-molecular-weight heparin (92.7%, 38/41) was the initial treatment in ICUs. VTE prophylaxis system has been established in 92.7% (38/41)hospitals and 87.8% (36/41) ICUs,related personnel groups were set up in 75.6% (31/41) hospitals and 58.5% (24/41) ICUs including 68.3% (28/41) hospitals with multidisciplinary team. VTE prophylaxis system in different hospitals was heterogeneous. VTE risk assessment models in different ICUs were not identical. There were unmet clinical needs of VTE mechanical prophylaxis equipment. In conclusion, VTE screening, evaluation and prophylaxis protocols in ICUs still need to be standardized and improved.