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題名 | 兒童過敏急症之緊急處理=Emergent Treatment in Childhood Immediate Hypersensitivity |
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作者 | 洪志興; 華一鳴; 羅文聰; 李明勇; | 書刊名 | 國防醫學 |
卷期 | 31:3 2000.09[民89.09] |
頁次 | 頁202-209 |
專輯 | 兒科急診專輯 |
分類號 | 417.5343 |
關鍵詞 | 氣喘; 蕁麻疹; 血管性水腫; 過敏性休克; Asthma; Urticaria; Angioedema; Anaphylaxis; |
語文 | 中文(Chinese) |
中文摘要 | 兒童過敏急症主要包括急性氣喘發作(acute asthma attack)、蕁麻疹(urticaria)、血管性水腫(angioedema)及過敏性休克(anaphylaxis)等等,這些過敏急症都是IgE及肥胖胞媒介,之後分泌組織胺及些胞激素而迅速產生症狀。在中度至重度氣喘發作之治療強調支氣管擴張劑抗發炎藥物並重,以減少發作晚期之嚴重情形。蕁麻疹及血管性水腫則須非常洴意是否有危及生命的喉頭水腫情形,否則只要症狀治療即可。至於過敏性休克則必須早期診斷及早期施以腎上線素之急救措施,才能減少死亡率。 |
英文摘要 | Allergic diseases of children that must be managed emergently include acute asthma, urticaria, angioedema and anaphylaxis. They are mediated by IgE and mast cells which could secrete some kinds of cytokine to induce a series of allergic symptoms. Children with moderate to severe asthma attack, must be treated with bronchodilator and anti-ifalammatory agent to prevent occurrence of late phase. In patients with urticaria and angiodedema, we must pay much attention to the condition of laryngoedema which could cause upper airway obstruction and sudden death, though the opportunity is low. Treatment of the patient with anaphylaxis depends on the severity of the reaction. Rapid actions of ulmost importance, include quick evaluation, administration of epinephrine, cardiopulamonary resuscitation and rapid fluid replacement to prevent mortality. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。