Chinese experts consensus on diagnosis, treatment and management of critically ill patients in hematology intensive care unit(2025)
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摘要: 近年来，恶性血液病患者的生存期明显延长，相关血液恶性肿瘤患者严重并发症的发生率亦相应升高；而且往往病情变化急骤。设立血液专科重症单元(hematology intensive care unit，HCU)对于早期识别、集中监护式管理血液危重症患者，提高血液科诊治水平、改善患者预后、降低医患纠纷风险具有重要临床意义。参考综合重症监护单元(intensive care unit，ICU)和血液科建设指南，结合国内临床HCU运行经验，由国内多家血液临床诊疗中心参与的专家组完成此共识。此共识从HCU建立的必要性和重要性、基本配置标准、收治标准、管理制度、原发病治疗原则以及诊疗策略等方面给出了具体的意见，并建议具备相应条件的血液中心应积极建立HCU，以期进一步降低血液重症的死亡率。Abstract: Recently, survival rates for patients with hematological malignancies (HMs) have been improved, but severe complications are also rising accordingly, and can escalate quickly. Establishing a hematology intensive care unit (HCU) is crucial for early detection and centralized monitoring of critically ill patients with hematological disorders, thus enhancing levels of hematology diagnosis and treatment, improving patients' prognosis, and minimizing medical disputes. Based on the guidelines of ICU and hematology department, combined with clinical operation experience of domestic HCU, this consensus is participated by several leading hematology centers in China.It outlines the necessity, configuration, admission standards, management, therapeutic principles, and strategies of diagnosis and treatment for HCU. An expert agreement on managing critically ill HCU patients was achieved. It is suggested that blood disease treatment centers with eligible critieria should actively establish HCU, aiming to further lowering the mortality rate of critically ill hematology patients.
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