遗传性血管性水肿消化科诊疗路径  

Diagnosis and Treatment Pathway for Hereditary Angioedema in Gastroenterology Department

作　　者：遗传性血管性水肿消化科诊疗协作组 陈白莉[2] 陈旻湖[2] 程雷 Hereditary Angioedema Gastroenterology Diagnosis and Treatment Collaborative Group;CHEN Minhu;CHENG Lei(不详;Department of Gastroenterology,the First Affiliated Hospital of Sun Yat-sen University,Guangzhou,510080;Department of Otorhinolaryngology&Clinical Allergy Center,the First Affiliated Hospital of Nanjing Medical University,Nanjing,210029)

机构地区：[1]不详 [2]中山大学附属第一医院消化内科,510080 [3]南京医科大学第一附属医院耳鼻咽喉科过敏诊疗中心,210029

出　　处：《胃肠病学》2024年第7期402-408,共7页Chinese Journal of Gastroenterology

摘　　要：遗传性血管性水肿(HAE)是一种罕见的遗传性疾病,表现为皮肤或黏膜水肿,常累及皮肤、胃肠道和呼吸道黏膜。胃肠道HAE发作主要表现为剧烈腹痛、恶心、呕吐等,常被误诊为急腹症,严重影响患者的生活质量和寿命。因此,提高消化科医师对HAE的认识至关重要。专家组特编写此诊疗路径,对HAE的病因、临床表现、在消化科的诊疗路径、鉴别诊断、疾病管理等内容进行系统梳理,以期帮助消化科对HAE的早期诊断和有效治疗。Hereditary angioedema(HAE)is a rare hereditary disease characterized by episodes of cutaneous or mucosal edema,primarily affecting the skin,the gastrointestinal tract,and the upper respiratory tract.Gastrointestinal symptoms,including severe abdominal pain,nausea,and vomiting,are common manifestations of HAE,and these symptoms are often misdiagnosed as acute abdomen.HAE significantly impacts the quality of life and life span of patients.Therefore,it is crucial to improve the disease awareness of HAE among gastroenterologists.Based on this situation,the panel of experts on HAE has developed this diagnosis and treatment pathway.This pathway systematically summarizes the etiology,clinical manifestations,diagnosis and treatment pathway in Gastroenterology Department,differential diagnosis,and disease management of HAE,so as to improve the early diagnosis and effective treatment of HAE in Gastroenterology Department.

关 键 词：血管性水肿 遗传性 血管性水肿 消化科 诊断 诊疗路径 

分 类 号：R73[医药卫生—肿瘤]