Emergency Department, St George's Hospital, London, UK.
Eur J Emerg Med. 2013 Feb;20(1):10-7. doi: 10.1097/MEJ.0b013e328356f76e.
Angioedema is characterized by localized swelling of subcutaneous tissues or mucosa of the upper respiratory or gastrointestinal tract. Laryngeal involvement may threaten airway patency and can be fatal if not addressed promptly. There are several distinct subtypes of angioedema, caused by different pathological processes involving a range of proinflammatory mediators. In the emergency department, it is essential not only that acute angioedema is identified as quickly as possible but also that the likely working diagnosis is established so that the most effective treatment may be administered to resolve potentially life-threatening swelling. In this paper, we present an overview of the various types of angioedema, and offer a practical diagnostic and therapeutic approach to their management.
血管性水肿的特征为皮下组织或上呼吸道、胃肠道黏膜的局部肿胀。喉部受累可能会威胁气道通畅，若不能及时处理，可能会致命。血管性水肿有几种不同的亚型，由不同的病理过程引起，涉及一系列促炎介质。在急诊科，不仅必须尽快识别出急性血管性水肿，还必须确定可能的诊断，以便给予最有效的治疗来缓解潜在的危及生命的肿胀。本文概述了各种类型的血管性水肿，并提供了一种实用的诊断和治疗方法来管理它们。
