世界过敏组织严重过敏反应指导意见2020解读  

Interpretation of World Allergy Organization anaphylaxis guidance 2020

作　　者：高琦[1] 殷菊[1] 徐保平[1] 申昆玲[1] Gao Qi;Yin Ju;Xu Baoping;Shen Kunling(China National Clinical Research Center for Respiratory Diseases,Department of Respiratory Medicine,Beijing Children′s Hospital,Capital Medical University,National Center for Children′s Health,Beijing 100045,China)

机构地区：[1]国家儿童医学中心,首都医科大学附属北京儿童医院呼吸科,国家呼吸系统疾病临床医学研究中心,北京100045

出　　处：《中华实用儿科临床杂志》2021年第6期431-437,共7页Chinese Journal of Applied Clinical Pediatrics

基　　金：国家重点研究发展计划(2016YFC0901103)。

摘　　要：严重过敏反应是急性全身过敏反应最严重的临床表现,近年来发病率有所增高,因此有必要继续传播该疾病的诊治和管理知识,以使每位医疗保健专业人员都具备相应急救知识技能。本版指导意见与当前最新的严重过敏反应诊治信息保持一致,从定义、诊断标准、严重度分级、诱因和协同因素及治疗管理等方面进行阐述,强调肾上腺素肌内注射仍是严重过敏反应的一线治疗措施,在严重过敏反应发生后,患者应转诊至专科医师来评估潜在诱因,并接受健康教育以预防复发和进行疾病自我管理。Anaphylaxis is the most severe clinical presentation of acute systemic allergic reactions.The occurrence of anaphylaxis has increased in recent years,and subsequently,there is a need to continue disseminating knowledge on the diagnosis and management,so every healthcare professional is prepared to deal with such emergencies.This updated position document keep guidance aligned with the current state of the art of knowledge in anaphylaxis management including definition,diagnostic criteria,severity grading,elicitors and cofactors,acute treatment and long-term management of anaphylaxis.Intramuscular Adrenaline continues to be the first-line treatment for anaphylaxis.After an anaphylaxis occurrence,patients should be referred to a specialist to assess the potential cause and to be educated on prevention of recurrences and self-management.

关 键 词：严重过敏反应 指导意见 肾上腺素 诱因 食物 昆虫毒液 药物 

分 类 号：R593.1[医药卫生—内科学]