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儿童疫苗相关过敏反应的门诊管理

Office management of childhood vaccine-related anaphylaxis.

作者信息

Thibodeau J L

机构信息

Department of Health and Community Services of the Province of New Brunswick.

出版信息

Can Fam Physician. 1994 Sep;40:1602-10.

PMID:7920053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2380280/
Abstract

As new vaccines are added to the immunization schedule for children, to be administered concurrently with other vaccines, the possibility of an acute allergic reaction increases. This article briefly reviews a few basic pathophysiologic aspects of anaphylaxis, the important role of histamine in its clinical manifestation, and its management. The article is aimed at health professionals who administer childhood vaccines outside hospitals, but who are located within 20 to 30 minutes' travel from an emergency room.

摘要

随着新疫苗被纳入儿童免疫接种计划,并与其他疫苗同时接种,发生急性过敏反应的可能性增加。本文简要回顾了过敏反应的一些基本病理生理学方面、组胺在其临床表现中的重要作用及其管理。本文针对的是在医院外接种儿童疫苗,但距离急诊室20至30分钟车程内的卫生专业人员。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d1a/2380280/00b97099599f/canfamphys00103-0123-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d1a/2380280/00b97099599f/canfamphys00103-0123-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d1a/2380280/00b97099599f/canfamphys00103-0123-a.jpg

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Office management of childhood vaccine-related anaphylaxis.儿童疫苗相关过敏反应的门诊管理
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引用本文的文献

1
Dealing with office emergencies. Stepwise approach for family physicians.应对办公室紧急情况。家庭医生的逐步方法。
Can Fam Physician. 2002 Sep;48:1464-72.
2
Anaphylaxis: statement on initial management in nonhospital settings. Laboratory Centre for Disease Control.过敏反应:非医院环境初始处理声明。疾病控制实验室中心。
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本文引用的文献

1
[Urticaria and antihistamines].[荨麻疹与抗组胺药]
Can Fam Physician. 1993 Jan;39:132-40.
2
Epinephrine for treatment of anaphylactic shock.肾上腺素用于治疗过敏性休克。
JAMA. 1984 Apr 27;251(16):2118-22.
3
Anaphylaxis.过敏反应
J Allergy Clin Immunol. 1985 Feb;75(2):227-33. doi: 10.1016/0091-6749(85)90048-x.
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A rapid method for estimating weight and resuscitation drug dosages from length in the pediatric age group.一种根据小儿年龄组身长估算体重及复苏药物剂量的快速方法。
Ann Emerg Med. 1988 Jun;17(6):576-81. doi: 10.1016/s0196-0644(88)80396-2.
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Anaesthesia. 1988 Mar;43(3):253. doi: 10.1111/j.1365-2044.1988.tb05571.x.
6
Anaphylactic shock. Guidelines for immediate diagnosis and treatment.
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7
The use of adrenaline in anaphylaxis.肾上腺素在过敏反应中的应用。
BMJ. 1989 Jun 3;298(6686):1496.
8
Vaccine Adverse Event Reporting System--United States.美国疫苗不良事件报告系统
MMWR Morb Mortal Wkly Rep. 1990 Oct 19;39(41):730-3.
9
The effect of standard- and high-dose epinephrine on coronary perfusion pressure during prolonged cardiopulmonary resuscitation.标准剂量和高剂量肾上腺素对长时间心肺复苏期间冠状动脉灌注压的影响。
JAMA. 1991 Mar 6;265(9):1139-44.
10
Potential complications of high-dose epinephrine therapy in patients resuscitated from cardiac arrest.心脏骤停复苏患者大剂量肾上腺素治疗的潜在并发症。
JAMA. 1991 Mar 6;265(9):1117-22.