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首页> 外文期刊>Current opinion in allergy and clinical immunology >Anaphylaxis in the emergency department: a paediatric perspective.
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Anaphylaxis in the emergency department: a paediatric perspective.

机译:急诊部门的过敏反应:儿科的观点。

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PURPOSE OF REVIEW: Correct management of anaphylactic manifestations in the emergency department is crucial to prevent mortality and future episodes, in particular for paediatric patients. We make here recommendations based on a critical review of the evidence for the management of anaphylaxis in emergency department with particular emphasis on children. RECENT FINDINGS: Available information suggests that anaphylaxis must be promptly recognized keeping in mind the airway patency, breathing (ventilation and respiration), circulation and mental status and treated. The first treatment is epinephrine. After successful treatment of an anaphylactic episode, attention must be paid at prevention of early recurrences (biphasic anaphylaxis) and assessment of causes. Patients should not be discharged before prescribing self-injectable epinephrine and explain how and in under what circumstances it must be injected; giving an action plan to be communicated to their communities; inform the school about the possibleoccurrence of reactions and the appropriate avoidance and rescue measures; and consider the necessity of a Medic-Alert identification. SUMMARY: As gross differences have been described in the awareness of the disease and its management between allergists and nonallergists, allergists should interact with emergency doctors to improve education in this area.
机译:审查目的:急诊科对过敏性表现的正确处理对于预防死亡率和未来发作至关重要,特别是对于儿科患者。我们在这里根据对急诊科中过敏反应管理证据的严格审查来提出建议,尤其是儿童。最近的发现:现有信息表明,必须迅速认识到过敏性反应,同时要记住气道通畅,呼吸(通气和呼吸),循环和精神状态并进行治疗。第一种治疗方法是肾上腺素。成功治疗过敏性发作后,必须注意预防早期复发(双相过敏)和原因评估。在开出可自行注射的肾上腺素并解释如何以及在何种情况下必须注射时,患者不应出院;制定行动计划,以传达给他们的社区;通知学校可能发生的反应以及适当的避免和营救措施;并考虑医疗警报身份识别的必要性。简介:由于过敏症患者和非过敏症患者对疾病的认识及其治疗方法存在巨大差异,因此过敏症患者应与急诊医生互动以改善该领域的教育。

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