Prince Benjamin T, Mikhail Irene, Stukus David R
Division of Allergy and Immunology, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH, USA.
J Asthma Allergy. 2018 Jun 20;11:143-151. doi: 10.2147/JAA.S159400. eCollection 2018.
Epinephrine is the only effective treatment for anaphylaxis but studies routinely show underutilization. This is especially troubling given the fact that fatal anaphylaxis has been associated with delayed administration of epinephrine. Many potential barriers exist to the proper use of epinephrine during an anaphylactic reaction. This article will explore both patient-and physician-related factors, as well as misconceptions that all contribute to the underuse of epinephrine for the treatment of anaphylaxis.
肾上腺素是治疗过敏反应的唯一有效药物,但研究经常表明其使用不足。鉴于致命性过敏反应与肾上腺素给药延迟有关,这尤其令人担忧。在过敏反应期间,正确使用肾上腺素存在许多潜在障碍。本文将探讨与患者和医生相关的因素,以及导致肾上腺素在治疗过敏反应时使用不足的误解。