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  • 朋友的孩子平时就是过敏体质,在饮食上特别注意,就怕稍有不慎会引起过敏,有一次孩子自己嘴馋趁家长不注意悄悄吃了一点点芒果,其实只有指甲盖那么一点。 虽然只是吃了一点点,但是立马过敏反应就出现了,家里人赶紧拿出家里事先备好的过敏药,但是孩子吃了过敏药之后依然不管用,不一会儿孩子就出现了喉头水肿呼吸困难,家里人立即打了120急救电话,在电话里和医护人员讲清楚了是因为过敏导致了喉头水肿现在出现了呼吸困难。 医护人员也来的快,挂了电话只一会儿的时间就赶过来了,赶过来的医护人员还特意带了一瓶喷雾剂,来了之后立马给孩子嘴里喷上喷雾剂,没想到当时效果就明显好转了,医护人员等待患者慢慢的稍微恢复了之后,简单的
    2018-04-13 15:55:42
  • 中山大学附属第一医院针灸科 邓元江    李××,女,38岁,广州人,海珠区某驾校老板,本院针灸科门诊病人。初诊:2010-3-18。   病史:喉头水肿声音嘶哑失音5年余。其妹介绍来找我治疗,来诊时声音低微又嘶哑,基本上不能说话,都是靠在手机上打字与别人交流。自诉如果多说话一会,喉头马上水肿,一下子就发不出声音了,几天以后才能发出点嘶哑的声音。在广州多家大医院求医治疗,无效。喉镜检查,咽喉、声带红肿与充血。面色晦暗,情绪较急躁,焦虑,睡眠较差。舌红少苔,脉细弦。   中医诊断:失音;证型:阴虚火旺、气血瘀滞。   治疗原则:滋阴清热、活血通络。   针灸取穴:舌下三针、承浆、翳风、完谷
    邓元江 主任医师 2018-07-31 08:06:07
  •   Do not hesitate to use epinephrine for possible anaphylaxis, even in the absence of proof that patients' symptoms are the result of an allergic reaction, experts agree.首都医科大学附属北京儿童医院心内科杜忠东"Epinephrine in appropriate doses is safe, and there are no absolute contraindications for its use in treating anaphylaxis," according to a consensus statement prepared by an expert panel of emergency physicians and allergists."Delay in administration of epinephrine may lead to more severe and treatment resistant anaphylaxis," the authors report in an article published online August 6 in the Annals of Allergy, Asthma and Immunology."It is not necessary for the [National Institute of Allergy and Infectious Disease and the Food Allergy and Anaphylaxis Network] criteria to be met to administer epinephrine," they stress.The panel was convened in 2014 to discuss the limitations of current knowledge and barriers to emergency management of anaphylaxis, focusing specifically on three primary barriers to improved care: the complexity of diagnosing anaphylaxis, the underuse of epinephrine, and inadequate postdischarge follow-up.In addition to patients with anaphylaxis, those identified as being at risk for anaphylaxis are candidates for epinephrine administration, Stanley M. Fineman, MD, from Emory University School of Medicine and Atlanta Allergy and Asthma Clinic, Atlanta, Georgia, and colleagues report. At-risk patients include those with a history of previous severe reaction, as well as those who have had a known or suspected exposure to their allergic trigger, with or without the development of symptoms.Antihistamines and glucocorticoids do not work fast enough to be an appropriate first-line treatment for a severe reaction, but they may be administered after epinephrine at the discretion of the treating physicians, the authors write.The panel also recommends providing a prescription for epinephrine autoinjectors to patients treated for anaphylaxis or for severe allergic reactions in emergency settings, and to those considered at risk for a future event. It is imperative that these individuals also be provided with an action plan for autoinjector use before discharge, they write.Postdischarge protocol should also include referral to an allergist "to assist with diagnosis confirmation, trigger identification, and continued outpatient management," the authors write.Breaking down barriers to optimal emergency management of anaphylaxis "should be a joint effort of all who have a stake in improving anaphylaxis care, including emergency physicians, emergency medical services practitioners, allergists, and patient advocacy groups," the authors write, noting the need for widespread education efforts for emergency medical services practitioners and emergency department clinicians to improve the diagnosis and management of anaphylaxis.In addition, "allergists should be proactive in seeking collaborations with emergency practitioners in their community," the authors conclude.This research was supported by an educational grant from Mylan Specialty LP. The authors have disclosed no relevant financial relationships.Ann Allergy Asthma Immunol. Published online August 6, 2015. 当前浏览器不支持播放视频,建议使用火狐或者谷歌浏览器
    杜忠东 主任医师 2021-01-25 18:05:21
  • 支配声带的运动肌肉,令声带黏膜充血、水肿,以致血管破裂、出血,造成声音嘶哑,或引起急性声带炎,甚至有轻微呼吸困难。     若有一两周时间持续声音沙哑,应到耳鼻喉科去检查,医生通过声音和用喉头内窥镜观察喉咙内部情况后,就可知道是不是喉头癌。声带上有圆的水肿喉头息肉,而声带边缘呈锯齿状的是癌。有人认为把喉头内窥镜放人喉咙一定很痛苦,实际上这种内窥镜是极细、极软的管子,只需5分钟左右就可以结束检查,几乎没有痛苦。       肺癌与肺结核、局灶性肺炎 早期肺癌可以通过检查肺部阴影、痰中的癌细胞篱ⅱ现,但病灶若在1厘米以下,就非常难与肺结核或局灶性肺炎区别。       针对难区分的疾病,有条件者
    匡山 主治医师 2018-11-01 15:37:43
  • 患者:患病大概有两年。眉毛上都有,脸上有两块。还有手上有一块。发病时皮肤红肿,粗糙,皮肤特别厚,还有米粒状的小疙瘩而且很痒。 想问大夫我这是血管性水肿吗,如果是应该怎样治疗 化验、检查结果:北京地坛医院皮肤性病科张斌:1、血管性水肿是一种特殊类型的荨麻疹。北京儿童医院皮肤科张斌2、多数为突然发生的大片暂时性水肿,边缘不清,肤色或者苍白及淡红色,不痒或者轻度灼热和不适感。3、数小时(多数在24小时内)自行消失。4、好发于组织疏松的部位,如眼睑、口周、外生殖器、手足背部等;5、如果发生于咽喉部,可以出现喉头水肿,危及生命;6、治疗主要是抗组胺药物/H1受体拮抗剂,如西替利嗪、咪唑斯叮、扑尔敏等
    张斌 2020-04-28 14:57:41
  • 维持功能,则上述症状可暂时缓解一段时间。异物阻塞支气管可引起肺不张或反复肺炎,有时很长时间均按肺炎治疗而未能被发现。  一旦明确是气管异物,应迅速送往医院耳鼻喉科,由医生在气管镜观察下取出异物。异物取出后因喉头受刺激可引起喉头水肿,除按医生嘱咐进行一些相应的药物治疗外,要保持小儿安静,避免哭闹,以免加重喉头水肿。如小儿呛咳一阵后好转,家长也不要自认为异物已咳出而不去医院就诊,这是因为小儿气管异物自然咳出的可能性很小,只有医生在喉镜或气管镜的帮助下才能取出异物。此外,如小儿反复肺炎,应想到气管异物的可能,及时询问小儿是否在吃东西时出现过呛咳现象,并提醒医务人员注意气管异物的可能
    王新良 主任医师 2020-09-23 07:32:51
  • 急性荨麻疹发病急,发作突然,皮疹数量较多,面积较广泛,风团常为大片状,易反复发作,合并血管性水肿的相对较多,严重时可伴有全身症状,如头痛、发热、全身无力等;伴有消化道黏膜病变时,可致腹痛、腹泻、便秘、恶心、呕吐;伴有呼吸道黏膜病变时,可致胸闷、呼吸困难。同时急性荨麻疹常可引起一些并发症:1.引起黏膜水肿,出现恶心、呕吐、腹痛、腹泻等症状。喉头黏膜受侵时则有胸闷、气喘、呼吸困难,严重者可引起喉头水肿发生窒息而危及生命。如伴有高热、寒战、脉速等全身症状,应特别警惕有无严重感染如败血症的可能2.荨麻疹样血管炎,伴有呕吐,腹泻,腹痛等症状,严重的可引起体克,左心衰,双上肢疼痛等症状,严重者可引起喉头
    王立昌 主治医师 2018-08-18 13:49:21
  • 声音嘶哑俗称哑嗓子。就是嗓音变粗、沙哑,甚至说不出话来。造成声音嘶哑的原因很多,轻则是轻微感冒而引起,重者则可能是喉癌引起的。一旦出现声音嘶哑,不容忽视。 常见引起声音嘶哑的原因有以下几种: 1. 喉头先天性畸形 如果小儿出生后即出现哭声嘶哑、微弱甚至哭不出声来,有可能为先天性喉部畸形,如在两侧声带之间有一薄膜叫喉蹼,或是喉头发育不良形成气囊膨出。先天性喉头畸形在确诊后可手术治疗。 2. 急性喉炎 当受凉、劳累或烟酒过度,可引起咽喉部急性发炎,轻者音调降低、声音粗糙、发音费力,重者可失音。 尤其是在春秋季节小儿易患此病,因为小儿喉头组织疏松,一旦发生水肿,很容易堵塞声门,引起
    张皓 主治医师 2017-10-01 09:57:41
  • 声音嘶哑俗称哑嗓子。就是嗓音变粗、沙哑,甚至说不出话来。造成声音嘶哑的原因很多,轻则是轻微感冒而引起,重者则可能是喉癌引起的。一旦出现声音嘶哑,不容忽视。常见引起声音嘶哑的原因有以下几种:1.喉头先天性畸形如果小儿出生后即出现哭声嘶哑、微弱甚至哭不出声来,有可能为先天性喉部畸形,如在两侧声带之间有一薄膜叫喉蹼,或是喉头发育不良形成气囊膨出。先天性喉头畸形在确诊后可手术治疗。2.急性喉炎当受凉、劳累或烟酒过度,可引起咽喉部急性发炎,轻者音调降低、声音粗糙、发音费力,重者可失音。尤其是在春秋季节小儿易患此病,因为小儿喉头组织疏松,一旦发生水肿,很容易堵塞声门,引起呼吸困难。这时小儿除有发烧、声音
    刘新 主治医师 2017-05-22 19:49:49
  • 声音嘶哑俗称哑嗓子。就是嗓音变粗、沙哑,甚至说不出话来。造成声音嘶哑的原因很多,轻则是轻微感冒而引起,重者则可能是喉癌引起的。一旦出现声音嘶哑,不容忽视。常见引起声音嘶哑的原因有以下几种: 1.喉头先天性畸形 如果小儿出生后即出现哭声嘶哑、微弱甚至哭不出声来,有可能为先天性喉部畸形,如在两侧声带之间有一薄膜叫喉蹼,或是喉头发育不良形成气囊膨出。先天性喉头畸形在确诊后可手术治疗。 2.急性喉炎 当受凉、劳累或烟酒过度,可引起咽喉部急性发炎,轻者音调降低、声音粗糙、发音费力,重者可失音。尤其是在春秋季节小儿易患此病,因为小儿喉头组织疏松,一旦发生水肿,很容易堵塞声门,引起呼吸困难。这时小儿除有
    刘新 主治医师 2017-05-22 19:48:52
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