检测患者过敏：谨防谎言。
Detecting patient allergy: beware the LIE.
作者信息
Bismil Quamar, Bowles Christopher, Edwards Mark, Arastu Mateen, Ricketts David M, Solan Matthew C
机构信息
South-West Thames Region, London, UK.
出版信息
Ann R Coll Surg Engl. 2007 Sep;89(6):603-4. doi: 10.1308/003588407X187711.
INTRODUCTION
Allergy detection is important in surgical patients. Historically, the focus has been on drug allergies. There is increasing focus on non-drug allergy, specifically latex, iodine and elastoplast.
PATIENTS AND METHODS
The practice and knowledge of 24 pre-registration house officers was evaluated, with regard to patient allergy. For the second phase of the study, the cohort of 367 consecutive patients presenting to the orthopaedic pre-assessment clinic was prospectively assessed.
RESULTS
This prospective study demonstrates that standard history-taking misses a large number (38%) of such allergies.
CONCLUSIONS
With regard to allergy detection, we are living a LIE (by ignoring latex, iodine, elastoplast allergy). We suggest junior doctors should employ the mnemonic LIED (latex, iodine, elastoplast and drugs) when taking a medical history.
引言
过敏检测在外科患者中很重要。从历史上看，重点一直放在药物过敏上。现在越来越关注非药物过敏，特别是乳胶、碘和弹力绷带。
患者与方法
对24名预注册住院医师在患者过敏方面的实践和知识进行了评估。在研究的第二阶段，对连续到骨科术前评估门诊就诊的367名患者进行了前瞻性评估。
结果
这项前瞻性研究表明，标准的病史采集会遗漏大量（38%）此类过敏情况。
结论
关于过敏检测，我们生活在谎言中（因为忽视乳胶、碘、弹力绷带过敏）。我们建议初级医生在采集病史时应使用助记符LIED（乳胶、碘、弹力绷带和药物）。
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