血液专科重症单元危重症患者诊疗和管理中国专家共识(2025年版)  

Chinese expert consensus on diagnosis,treatment and management of critically ill patients in hematology intensive care unit(2025)

作　　者：中华医学会血液学分会 胡豫[2] Chinese Society of Hematology,Chinese Medical Association;Hu Yu(不详;Department of Hematology,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]不详 [2]华中科技大学同济医学院附属协和医院血液病学研究所,武汉430022

出　　处：《中华血液学杂志》2025年第1期9-17,共9页Chinese Journal of Hematology

摘　　要：近年来,恶性血液病患者的生存期明显延长,血液恶性肿瘤患者严重并发症的发生率亦相应升高,且病情常变化急骤。设立血液专科重症单元(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。参考综合重症监护病房(ICU)和血液科建设指南,结合国内临床HCU运行经验,由国内多个血液临床诊疗中心参与的专家组完成本共识。本共识在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、原发病治疗原则及诊疗策略等方面给出了具体意见,并建议具备相应条件的血液中心积极建立HCU,以期进一步降低血液重症的死亡率。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.

关 键 词：危重症患者 血液科 血液恶性肿瘤 恶性血液病患者 原发病治疗 诊疗策略 血液中心 早期识别 

分 类 号：R733[医药卫生—肿瘤]