---
title: "Expert Recommendations for Standardized Establishment of Hemoptysis Centers in China"
id: "pubmed-42706205"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42706205"
content_type: "clinical_feed_article"
specialty: "Critical Care"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42706205/"
doi: "10.3760/cma.j.cn112147-20260410-00193"
published_at: "2026-09-12T00:00:00.000Z"
evidence_level: "Consensus Statement"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Expert Recommendations for Standardized Establishment of Hemoptysis Centers in China
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42706205
- **Specialty:** [Critical Care](https://medichelpline.com/clinical-feed/critical-care.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42706205/)
- **DOI:** [10.3760/cma.j.cn112147-20260410-00193](https://doi.org/10.3760%2Fcma.j.cn112147-20260410-00193)
- **Published At:** 2026-09-12T00:00:00.000Z
- **Evidence Rating:** Consensus Statement
## Executive GIST (TL;DR)
- The document is a national consensus authored by the **Chinese Thoracic Society**, Chinese Society for Tuberculosis, Interventional Pulmonology Working Group, and the Hemoptysis Expert Committee to standardize hemoptysis center construction in China. - **Hemoptysis** is described as a common, high-risk clinical emergency in China, often secondary to tuberculosis, bronchiectasis, lung cancer, pulmonary mycoses, and respiratory interventional procedures. - Life-threatening massive hemoptysis can cause death from asphyxia or hemorrhagic shock within minutes, emphasizing the need for rapid, coordinated care. - Current practices for hemoptysis management in China show significant variability across regions and hospital levels, with overall insufficient rescue capacity and high rates of mortality and disability. - Establishing dedicated **hemoptysis centers**, modeled on chest pain and stroke center frameworks, is proposed as imperative to improve outcomes. - Several provincial and municipal hospitals in China have already implemented Hemoptysis Centers and reported favorable clinical effects; more hospitals are actively developing such centers nationwide. - The recommendations represent the first domestic and international consensus specifically focused on standardized establishment of Hemoptysis Centers. - Goals of the recommendations include standardization of center construction, development of a nationwide Hemoptysis Center network, improvement of hemoptysis treatment success rates, and reduction of mortality and disability among patients. - The article is published in Zhonghua Jie He He Hu Xi Za Zhi (2026); publication type is a Consensus Statement with an English abstract and includes a declared absence of conflicts of interest by all authors. - Bibliographic identifiers: PMID 42706205; DOI 10.3760/cma.j.cn112147-20260410-00193. Funding mentions a 2024 National Outstanding Physician Talent Program grant in related metadata.
## Clinical Analysis & Structured Key Points
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Zhonghua Jie He He Hu Xi Za Zhi. 2026. Show details Display options Display options Format Abstract PubMed PMID Zhonghua Jie He He Hu Xi Za Zhi Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Zhonghua+Jie+He+He+Hu+Xi+Za+Zhi%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Zhonghua+Jie+He+He+Hu+Xi+Za+Zhi%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42706205/) . 2026 Sep 12;49(9):984-991. doi: 10.3760/cma.j.cn112147-20260410-00193. ### Authors [Chinese Thoracic Society, Chinese Medical Association](https://pubmed.ncbi.nlm.nih.gov/?term=Chinese+Thoracic+Society%2C+Chinese+Medical+Association%5BCorporate+Author%5D); [Chinese Society for Tuberculosis, Chinese Medical Association](https://pubmed.ncbi.nlm.nih.gov/?term=Chinese+Society+for+Tuberculosis%2C+Chinese+Medical+Association%5BCorporate+Author%5D); [Interventional Pulmonology Working Group, Chinese Association of Chest Physicians](https://pubmed.ncbi.nlm.nih.gov/?term=Interventional+Pulmonology+Working+Group%2C+Chinese+Association+of+Chest+Physicians%5BCorporate+Author%5D); [Hemoptysis Expert Comnittet of The Bleeding Professional Cominittee of Chinese Research Hospital Association](https://pubmed.ncbi.nlm.nih.gov/?term=Hemoptysis+Expert+Comnittet+of+The+Bleeding+Professional+Cominittee+of+Chinese+Research+Hospital+Association%5BCorporate+Author%5D) * PMID: **42706205** * DOI: [ 10.3760/cma.j.cn112147-20260410-00193 ](https://doi.org/10.3760/cma.j.cn112147-20260410-00193) Item in Clipboard Full text links Cite Display options Display options Format Abstract PubMed PMID ## Abstract in [ English, ](https://pubmed.ncbi.nlm.nih.gov/42706205/#eng-abstract) [ Chinese ](https://pubmed.ncbi.nlm.nih.gov/42706205/#zho-abstract) Hemoptysis is a common and challenging clinical emergency, frequently secondary to high-prevalence diseases in China-such as pulmonary tuberculosis, bronchiectasis, lung cancer, and pulmonary mycosis-as well as respiratory interventional procedures. Patients with life-threatening massive hemoptysis can succumb to asphyxia or hemorrhagic shock within minutes. Currently, clinical practices in hemoptysis management across China exhibit significant disparities among different regions and hospital tiers, characterized by an overall deficit in rescue capabilities and high rates of mortality and disability. The establishment of hemoptysis centers, drawing on the experience of chest pain centers and stroke centers, has become imperative. Several hospitals across various provinces and municipalities in China have already established Hemoptysis Centers, yielding favorable clinical outcomes, and an increasing number of hospitals nationwide are actively advancing the development of these centers. To ensure the standardized and orderly establishment of these centers, the Chinese Thoracic Society, the Chinese Antituberculosis Association, the Interventional Pulmonology Group of the Chinese Association of Chest Physicians, and the Hemoptysis Expert Committee of the Haemorrhage Professional Committee of the Chinese Research Hospital Association convened national experts in related fields to formulate these Expert Recommendations on the standardized established of hemoptysis centers. As the first consensus of their kind both domestically and internationally, these recommendations aim to standardize the establishment of Hemoptysis Centers, promote the development of a nationwide Hemoptysis Center network, improve the success rate of hemoptysis treatment, and reduce the mortality and disability rates of affected patients. 大咯血是临床常见且棘手的急症，多见于肺结核、支气管扩张、肺癌、肺真菌病等我国高发疾病及呼吸介入诊疗操作，致命性大咯血患者可在数分钟内因窒息或失血性休克而死亡。目前国内咯血诊疗临床实践中不同地区及不同级别医院差距较大，总体救治能力不足、致残致死率高。借鉴胸痛中心、卒中中心经验建立咯血中心势在必行。国内已经有多个省市医院建立了咯血中心，取得了良好的实践效果，全国有越来越多的医院正在推进咯血中心建设。为使咯血中心建设规范、有序，由中华医学会呼吸病学分会、中华医学会结核病学分会、中国医师协会呼吸医师分会介入呼吸病学学组、中国研究型医院协会出血专业委员会咯血专家委员会召集全国相关领域专家，讨论制订了国内外首部《咯血中心规范化建设专家建议》，旨在规范咯血中心建设，推进覆盖全国的咯血中心网络建设，提升咯血救治的成功率，降低咯血患者的病死率和致残率。. [PubMed Disclaimer](https://pubmed.ncbi.nlm.nih.gov/disclaimer/) ## Conflict of interest statement 所有作者声明无利益冲突 ## Similar articles * [ [Chinese expert consensus on the diagnosis and treatment of pneumoconiosis complicated with tuberculosis]. ](https://pubmed.ncbi.nlm.nih.gov/42557068/) Chinese Society of Tuberculosis, Chinese Medical Association; Society of Labor Hygiene and Occupational Diseases, Chinese Preventive Medicine Association.Chinese Society of Tuberculosis, Chinese Medical Association, et al.Zhonghua Jie He He Hu Xi Za Zhi. 2026 Aug 12;49(8):821-833. doi: 10.3760/cma.j.cn112147-20260512-00273.Zhonghua Jie He He Hu Xi Za Zhi. 2026.PMID: 42557068Chinese. * [ [Expert consensus on optimizing the multidisciplinary clinical pathways and management models for pulmonary function testing]. ](https://pubmed.ncbi.nlm.nih.gov/41912385/) Task Forces on Pulmonary Function Testing from Chinese Association of Chest Physicians (CACP); Chinese Thoracic Society (CTS); Chinese Geriatrics Society (CGS).Task Forces on Pulmonary Function Testing from Chinese Association of Chest Physicians (CACP), et al.Zhonghua Jie He He Hu Xi Za Zhi. 2026 Apr 12;49(4):385-395. doi: 10.3760/cma.j.cn112147-20251114-00713.Zhonghua Jie He He Hu Xi Za Zhi. 2026.PMID: 41912385Chinese. * [ [Standard technical specifications for methacholine chloride (Methacholine) bronchial challenge test (2023)]. ](https://pubmed.ncbi.nlm.nih.gov/38309959/) Pulmonary Function and Clinical Respiratory Physiology Committee of Chinese Association of Chest Physicians; Chinese Thoracic Society; Pulmonary Function Group of Respiratory Branch of Chinese Geriatric Society.Pulmonary Function and Clinical Respiratory Physiology Committee of Chinese Association of Chest Physicians, et al.Zhonghua Jie He He Hu Xi Za Zhi. 2024 Feb 12;47(2):101-119. doi: 10.3760/cma.j.cn112147-20231019-00247.Zhonghua Jie He He Hu Xi Za Zhi. 2024.PMID: 38309959Chinese. * [ [Chinese experts consensus statement: diagnosis and treatment of cystic fibrosis (2023)]. ](https://pubmed.ncbi.nlm.nih.gov/36990700/) Chinese Experts Cystic Fibrosis Consensus Committee; Chinese Alliance for Rare Lung Diseases; Chinese Alliance for Rare Diseases, Bronchiectasis-China.Chinese Experts Cystic Fibrosis Consensus Committee, et al.Zhonghua Jie He He Hu Xi Za Zhi. 2023 Apr 12;46(4):352-372. doi: 10.3760/cma.j.cn112147-20221214-00971.Zhonghua Jie He He Hu Xi Za Zhi. 2023.PMID: 36990700Chinese. * [ Chinese Expert Recommendation for Diagnosis and Treatment of Massive Hemoptysis. ](https://pubmed.ncbi.nlm.nih.gov/31509823/) Jin F, Li Q, Bai C, Wang H, Li S, Song Y, Zeng Y, Zhou R, Li W, Hu C, Zhang J, Zhou H, Zhang H.Jin F, et al.Respiration. 2020;99(1):83-92. doi: 10.1159/000502156. 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