The Anaphylaxis

被引：0

作者：

Abrams, Elissa M. ^{[1
,2
]}

Alqurashi, Waleed ^{[3
]}

Fischer, David A. ^{[4
]}

Vander Leek, Timothy K. ^{[5
]}

Ellis, Anne K. ^{[6
]}

机构：

[1] Univ British Columbia, BC Childrens Hosp, Dept Pediat, Div Allergy, Vancouver, BC, Canada

[2] Univ Manitoba, Dept Pediat, Sect Allergy & Clin Immunol, Winnipeg, MB, Canada

[3] Univ Ottawa, Dept Pediat & Emergency Med, Ottawa, ON, Canada

[4] Western Univ, Dept Internal Med, Div Allergy, London, ON, Canada

[5] Univ Alberta, Fac Med & Dent, Dept Pediat, Edmonton, AB, Canada

[6] Queens Univ, Dept Med, Div Allergy & Immunol, Kingston, ON, Canada

来源：

ALLERGY ASTHMA AND CLINICAL IMMUNOLOGY | 2024年 / 20卷 / SUPPL 3期

关键词：

Anaphylaxis; Diagnosis; Acute management; Epinephrine; Long-term management; Anaphylaxis emergency plan; PEDIATRIC EMERGENCY-DEPARTMENT; PRACTICE PARAMETER UPDATE; EPINEPHRINE ABSORPTION; FATAL ANAPHYLAXIS; MANAGEMENT; PATTERNS; RISK;

D O I：

10.1186/s13223-024-00926-3

中图分类号：

R392 [医学免疫学];

学科分类号：

100102 ;

摘要：

Anaphylaxis is an acute, potentially fatal systemic hypersensitivity reaction with varied mechanisms and clinical presentations. Although prompt recognition and treatment of anaphylaxis are imperative, both patients and healthcare professionals often fail to recognize and diagnose its early signs. Clinical manifestations vary widely, however, the most common signs are cutaneous symptoms, including urticaria and angioedema. Immediate intramuscular administration of epinephrine into the anterolateral thigh is first-line therapy, and is always safe even if the diagnosis is uncertain. The mainstays of long-term management include specialist assessment, allergen avoidance measures, and the provision of an epinephrine auto-injector with an individualized anaphylaxis emergency plan. This article provides an overview of the causes, clinical features, diagnosis, and acute as well as long-term management of anaphylaxis.

引用

页数：10

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