重度特应性皮炎排除饮食期间的过敏性休克。
Anaphylactic shock during elimination diets for severe atopic eczema.
作者信息
David T J
出版信息
Arch Dis Child. 1984 Oct;59(10):983-6. doi: 10.1136/adc.59.10.983.
Abstract
Eighty patients with atopic eczema were treated with various elimination diets. Some or all foods were withdrawn then later reintroduced singly to the diet. In four patients reintroduction of a single food (soya, chicken, corn, cows' milk) caused anaphylactic shock. In two patients spontaneous recovery occurred but in two resuscitation and intensive care were required. Anaphylaxis is a definite hazard of these elimination diets. Other than warning the parents, practical precautions are difficult because of the unpredictability of violent reactions and uncertainty about the life saving efficacy of injected adrenaline.
摘要
80名特应性皮炎患者接受了各种排除饮食治疗。部分或全部食物被剔除，随后再逐一重新引入饮食中。4名患者重新引入单一食物（大豆、鸡肉、玉米、牛奶）后发生过敏性休克。2名患者自行康复，但另外2名患者需要进行复苏和重症监护。过敏反应是这些排除饮食疗法的一个明确风险。除了警告家长外，由于剧烈反应的不可预测性以及注射肾上腺素的救命效果存在不确定性，很难采取实际的预防措施。
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