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[膜翅目毒液快速免疫疗法的安全性]

[Safety of rush immunotherapy with Hymenoptera venom].

作者信息

Sánchez-Morillas L, Reaño Martos M, Rodríguez Mosquera M, Iglesias Cadarso A, Domínguez Lázaro A R

机构信息

Servicio de Alergología, Clínica Puerta de Hierro, San Martín de Porres, Madrid, Spain.

出版信息

Allergol Immunopathol (Madr). 2005 Jul-Aug;33(4):224-7. doi: 10.1157/13077748.

DOI:10.1157/13077748
PMID:16045862
Abstract

OBJECTIVES

To determine the incidence and nature of adverse events associated with the induction of rush Hymenoptera venom immunotherapy.

MATERIAL AND METHODS

Between 1998 and 2003, we administered venom immunotherapy to 48 patients allergic to bee or wasp venom, by means of a rush immunotherapy protocol (3 days).

RESULTS

We observed no severe adverse reactions in any patients. 12 patients developed only local reactions at the site of injections that did not required any pharmacological treatment. Two patients experienced mild systemic reactions consisting of diffuse urticaria on day 3. Both adverse reactions were treated with intravenous antihistamines.

CONCLUSIONS

Our experience confirms that rapid venom immunotherapy is safe and should be considered in every case especially for patients during the stinging insect season when a rapid protection is required.

摘要

目的

确定与快速蜂毒免疫疗法诱导相关的不良事件的发生率和性质。

材料与方法

1998年至2003年期间,我们通过快速免疫疗法方案(3天)对48例对蜜蜂或黄蜂毒液过敏的患者进行了毒液免疫治疗。

结果

我们在任何患者中均未观察到严重不良反应。12例患者仅在注射部位出现局部反应,无需任何药物治疗。2例患者在第3天出现轻度全身反应,表现为弥漫性荨麻疹。两种不良反应均用静脉注射抗组胺药治疗。

结论

我们的经验证实,快速毒液免疫疗法是安全的,在每种情况下都应予以考虑,尤其是在蛰虫季节需要快速保护的患者。

相似文献

1
[Safety of rush immunotherapy with Hymenoptera venom].[膜翅目毒液快速免疫疗法的安全性]
Allergol Immunopathol (Madr). 2005 Jul-Aug;33(4):224-7. doi: 10.1157/13077748.
2
The local and systemic side-effects of venom and inhaled-allergen subcutaneous immunotherapy.毒液和吸入性变应原皮下免疫疗法的局部和全身副作用。
Wien Klin Wochenschr. 2009;121(9-10):357-60. doi: 10.1007/s00508-009-1172-0.
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Analysis of safety, risk factors and pretreatment methods during rush hymenoptera venom immunotherapy.蜂类毒液快速免疫疗法期间的安全性、风险因素及预处理方法分析
Int Arch Allergy Immunol. 2008;147(3):241-5. doi: 10.1159/000142048. Epub 2008 Jul 2.
4
Rapid venom immunotherapy is safe for routine use in the treatment of patients with Hymenoptera anaphylaxis.快速毒液免疫疗法在治疗膜翅目过敏患者中常规使用是安全的。
Ann Allergy. 1994 Nov;73(5):423-8.
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Rush Hymenoptera venom immunotherapy: a safe and practical protocol for high-risk patients.拉什膜翅目昆虫毒液免疫疗法:一种针对高危患者的安全实用方案。
J Allergy Clin Immunol. 2002 Dec;110(6):928-33. doi: 10.1067/mai.2002.129124.
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Hymenoptera sting anaphylaxis and urticaria pigmentosa: clinical findings and results of venom immunotherapy in ten patients.膜翅目昆虫叮咬过敏反应和色素性荨麻疹:10例患者的临床发现及毒液免疫疗法的结果
J Allergy Clin Immunol. 1997 Jul;100(1):11-5. doi: 10.1016/s0091-6749(97)70188-x.
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Adverse events associated with rush hymenoptera venom immunotherapy.
Med J Aust. 2001 Mar 5;174(5):227-30. doi: 10.5694/j.1326-5377.2001.tb143242.x.
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Rush hymenoptera venom immunotherapy is efficacious and safe.速发型膜翅目毒液免疫疗法有效且安全。
J Investig Allergol Clin Immunol. 2006;16(4):232-8.
9
Venom immunotherapy: tolerance to a 3-day protocol of rush-immunotherapy.毒液免疫疗法:对3天快速免疫疗法方案的耐受性
Allergol Immunopathol (Madr). 1995 Nov-Dec;23(6):277-84.
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Safety of specific immunotherapy using a four-hour ultra-rush induction scheme in bee and wasp allergy.采用四小时超快速诱导方案的特异性免疫疗法在蜜蜂和黄蜂过敏中的安全性。
J Investig Allergol Clin Immunol. 2006;16(2):79-85.

引用本文的文献

1
Risk associated with bee venom therapy: a systematic review and meta-analysis.蜂毒疗法相关风险:系统评价与荟萃分析
PLoS One. 2015 May 21;10(5):e0126971. doi: 10.1371/journal.pone.0126971. eCollection 2015.