Tillie-Leblond I, Tonnel A B
Clinique des Maladies Respiratoires, CHRU, Lille.
Rev Mal Respir. 2000 Feb;17(1 Pt 2):279-86.
Anaphylactic shock is the most dramatic expression of allergic manifestations. Respiratory involvement, whether expressed as edema of the upper airways, acute bronchospasm, or pulmonary edema, is the second most frequent manifestation of anaphylactic shock after cardiovascular events, and is in many cases life-threatening. Respiratory signs of anaphylactic shock must be recognized rapidly to allow adequate treatment using epinephrine which has proven efficacy both in terms of symptom relief and prognosis.
过敏性休克是过敏表现中最严重的形式。呼吸系统受累,无论是表现为上呼吸道水肿、急性支气管痉挛还是肺水肿,都是过敏性休克仅次于心血管事件的第二常见表现,且在许多情况下会危及生命。必须迅速识别过敏性休克的呼吸系统体征,以便使用肾上腺素进行充分治疗,肾上腺素在缓解症状和改善预后方面均已证实有效。