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目的观察小儿食物过敏性哮喘特征,分析导致因素与诊疗措施。方法回顾性分析该院2014年2月—2017年4月收治的食物过敏哮喘患儿43例临床资料,观察、分析该组患儿症状特征、因素与诊疗等情况。结果经观察后统计显示,该组患儿中因食物所致哮喘初发者6例(13.95%),既往有哮喘史因食物过敏诱发者37例(86.05%);导致因素的食物种类依次为牛奶与奶制品11例,海鲜类(鱼、虾等)10例,肉类(鸡、鸭、猪等)8例,坚果食物类(花生、瓜子、核桃等)6例,蔬菜类(西红柿、蒜、土豆等)4例,水果类(桃)1例,此外还有调料类(味精、醋等)3例,啤酒与巧克力各1例。随后针对患儿诱发食物予以禁止食用,同时采用口服甘酸钠等过敏药物,对伴有哮喘症状者予以糖皮质激素吸入,所有患儿症状均得以控制,全部康复出院。结论小儿食物过敏性哮喘通过对其食物激发试验、临床表现、过敏史进行诊疗,在禁食过敏性食物的同时给予替代疗法治疗,有效防止患儿不良事件的发生,为患儿生命安全提供有效保障。
Objective To observe the characteristics of food allergic asthma in children and analyze the causes and diagnosis and treatment measures. Methods The clinical data of 43 children with food-allergic asthma admitted to our hospital from February 2014 to April 2017 were retrospectively analyzed. The symptoms, factors and diagnosis and treatment of children with asthma were observed and analyzed. Results According to the statistics after the observation, there were 6 cases (13.95%) of the initial cases of asthma due to food in this group. There were 37 cases (86.05%) of the history of the history of asthma due to food allergy. The food types of the leading factors were 11 cases of milk and dairy products, 10 cases of seafood (fish and shrimp), 8 cases of meat (chicken, duck and pig), 6 cases of nuts (peanuts, melon seeds and walnuts), vegetables (tomatoes, Garlic, potatoes, etc.) in 4 cases, fruit (peach) in 1 case, in addition to seasoning class (MSG, vinegar, etc.) in 3 cases, 1 case of beer and chocolate. Followed by children with food-forbidden food, while oral sodium and other allergy drugs, accompanied by symptoms of asthma were corticosteroids inhalation, all children with symptoms were controlled, all discharged. Conclusions Pediatric food allergic asthma can be used to diagnose food allergic asthma by treating food allergy test, clinical manifestations and allergy history. When allergic food is fasting, alternative therapy is given to prevent the occurrence of adverse events in children and provide effective safety for children. Protection.