Butterworth S J, Hindmarsh D G, Mellor A
J R Nav Med Serv. 2016;102(2):99-103.
Anaphylaxis is a severe, life-threatening, generalised hypersensitivity reaction. It affects 1 in 1,333 (~0.08%) of the English population during their lives, with 1% of cases being fatal. Management, underpinned by guidance from the Resuscitation Council (UK), focuses on a thorough clinical assessment and prompt administration of intramuscular adrenaline. Symptoms may recur, so patients must be observed for a period of no less than six hours. In a deployed environment evacuation must be swift and into a safe environment capable of providing critical care support. There are clear occupational implications following a case of anaphylaxis, and a confirmed case may affect service personnel’s fitness to deploy. This article will summarise the management of anaphylaxis in Royal Naval personnel.
过敏反应是一种严重的、危及生命的全身性超敏反应。在其一生中，英国人口中每1333人就有1人（约0.08%）会受到影响，其中1%的病例会导致死亡。在英国复苏委员会的指导下进行的管理工作，重点是全面的临床评估和及时注射肾上腺素。症状可能会复发，因此必须对患者进行不少于6小时的观察。在已部署的环境中，必须迅速疏散到能够提供重症监护支持的安全环境中。发生过敏反应后会有明确的职业影响，确诊病例可能会影响服务人员的部署适用性。本文将总结皇家海军人员过敏反应的管理方法。
