{"title":"[中国血液科重症监护病房危重患者诊治管理专家共识(2025)]。","authors":"","doi":"10.3760/cma.j.cn121090-20241206-00542","DOIUrl":null,"url":null,"abstract":"<p><p>Recently, survival rates for patients with hematological malignancies (HMs) have improved, but severe complications have also risen accordingly, and can escalate quickly. Establishing a hematology intensive care unit (HCU) is crucial for early detection and centralized monitoring of critically ill hematological patients, as well as the enhancement of diagnosis, treatment and prognosis and minimizing medical disputes. Based on the guidelines of intensive care unit 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, treatment principles, and strategies of HCU. An expert agreement on managing critically ill HCU patients was achieved. It is suggested that the blood centers with eligible critieria should actively establish HCU, aiming to further lowering the mortality rate of critically ill hematology patients.</p>","PeriodicalId":24016,"journal":{"name":"Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi","volume":"46 1","pages":"9-17"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886441/pdf/","citationCount":"0","resultStr":"{\"title\":\"[Chinese expert consensus on diagnosis, treatment and management of critically ill patients in hematology intensive care unit (2025)].\",\"authors\":\"\",\"doi\":\"10.3760/cma.j.cn121090-20241206-00542\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Recently, survival rates for patients with hematological malignancies (HMs) have improved, but severe complications have also risen accordingly, and can escalate quickly. Establishing a hematology intensive care unit (HCU) is crucial for early detection and centralized monitoring of critically ill hematological patients, as well as the enhancement of diagnosis, treatment and prognosis and minimizing medical disputes. Based on the guidelines of intensive care unit 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, treatment principles, and strategies of HCU. An expert agreement on managing critically ill HCU patients was achieved. It is suggested that the blood centers with eligible critieria should actively establish HCU, aiming to further lowering the mortality rate of critically ill hematology patients.</p>\",\"PeriodicalId\":24016,\"journal\":{\"name\":\"Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi\",\"volume\":\"46 1\",\"pages\":\"9-17\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11886441/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.3760/cma.j.cn121090-20241206-00542\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3760/cma.j.cn121090-20241206-00542","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
[Chinese expert consensus on diagnosis, treatment and management of critically ill patients in hematology intensive care unit (2025)].
Recently, survival rates for patients with hematological malignancies (HMs) have improved, but severe complications have also risen accordingly, and can escalate quickly. Establishing a hematology intensive care unit (HCU) is crucial for early detection and centralized monitoring of critically ill hematological patients, as well as the enhancement of diagnosis, treatment and prognosis and minimizing medical disputes. Based on the guidelines of intensive care unit 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, treatment principles, and strategies of HCU. An expert agreement on managing critically ill HCU patients was achieved. It is suggested that the blood centers with eligible critieria should actively establish HCU, aiming to further lowering the mortality rate of critically ill hematology patients.