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6小时内对黄蜂毒液进行减敏治疗。

Hyposensitisation to wasp venom in six hours.

作者信息

van der Zwan J C, Flinterman J, Jankowski I G, Kerckhaert J A

出版信息

Br Med J (Clin Res Ed). 1983 Nov 5;287(6402):1329-31. doi: 10.1136/bmj.287.6402.1329.

Abstract

Eleven patients with a history of anaphylaxis, positive reactions to skin tests, and specific IgE antibody to wasp venom underwent hyposensitisation in a six hour procedure. No general reactions occurred. Complement activation and proteinuria could not be shown. The patterns of specific IgE, IgG1, and IgG4 were as described in other procedures--namely, IgE increased sharply and then decreased; IgG1 and IgG4 increased steadily and then decreased--but increase and decrease came earlier. Challenge by a stinging insect at least four weeks after treatment proved complete protection. The skin reactivity two years later showed an unpredictable pattern.

摘要

11名有过敏反应病史、皮肤试验呈阳性反应且对黄蜂毒液有特异性IgE抗体的患者在一个6小时的程序中接受了减敏治疗。未发生全身性反应。未显示补体激活和蛋白尿。特异性IgE、IgG1和IgG4的模式与其他程序中所描述的相同——即IgE急剧增加然后下降;IgG1和IgG4稳步增加然后下降——但增加和下降出现得更早。治疗后至少四周受到蜇虫攻击证明有完全的保护作用。两年后的皮肤反应性呈现出不可预测的模式。

相似文献

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Hyposensitisation to wasp venom in six hours.6小时内对黄蜂毒液进行减敏治疗。
Br Med J (Clin Res Ed). 1983 Nov 5;287(6402):1329-31. doi: 10.1136/bmj.287.6402.1329.

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本文引用的文献

2
Regimens of Hymenoptera venom immunotherapy.膜翅目毒液免疫疗法方案。
Ann Intern Med. 1980 May;92(5):620-4. doi: 10.7326/0003-4819-92-5-620.
5
A case for venom treatment in anaphylactic sensitivity to hymenoptera sting.
N Engl J Med. 1974 May 30;290(22):1223-7. doi: 10.1056/NEJM197405302902204.
8
Insect allergy: the state of the art.昆虫过敏:最新进展
J Allergy Clin Immunol. 1979 Jul;64(1):5-12. doi: 10.1016/0091-6749(79)90075-7.
10
A controlled trial of immunotherapy in insect hypersensitivity.昆虫超敏反应免疫疗法的对照试验。
N Engl J Med. 1978 Jul 27;299(4):157-61. doi: 10.1056/NEJM197807272990401.

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