摘要
《严重过敏反应急救指南》的推荐意见围绕严重过敏反应的诊断、救治准备、救治措施和救治后管理回答了15个临床问题,共形成26条推荐意见。推荐意见中的证据质量分为高、中、低和极低4级,推荐强度分为强、弱2级。推荐意见的强度主要基于对利弊的权衡,不完全依赖于证据质量。临床严重过敏反应的急救可参照推荐意见实施。
The recommendations of Guideline for Emergency Management of Anaphylaxis answered 15 clinical questions about diagnosis, preparation for treatment, treatment measures, and post-treatment management of anaphylaxis and a total of 26 recommendations were formed. In the recommendations, the quality of evidence was divided into 4 levels: high, moderate, low, and very low. And the strength of recommendation was divided into 2 levels: strong and weak. The strength of recommendations was mainly determined by weighing the advantages and disadvantages, instead of relying on the quality of evidence. Emergency management of anaphylaxis in clinical practice could be carried out with reference to the recommendations of this guideline.
作者
李晓桐
翟所迪
王强
王育琴
尹佳
陈玉国
陈荣昌
张洪君
杨克虎
李天佐
郑亚安
马青变
刘芳
崔杨
郑航慈
Li Xiaotong;Zhai Suodi;Wang Qiang;Wang Yuqin;Yin Jia;Chen Yuguo;Chen Rongchang;Zhang Hongjun;Yang Kehu;Li Tianzuo;Zheng Yaran;Ma Qingbian;Liu Fang;Cui Chang;Zheng Hangci(Department of Pharmacy,Peking University Third Hospital,Beijing 100191,China;Evidence-based,Medicine Center,Lanzhou University,Lanzhou 730000,China;Department of Anesthesiology,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Department of Emergency Medicine,Peking University Third Hospital,Beijing 100191,China;Institute for Drug evaluation,Peking University Health Science Center,Beijing 100191,China;Department of Pharmacy Administration and Clinical Pharmacy,Peking University School of Pharmaceutical Sciences,Beijing 100191,China;National Center for Medical Service Administration,National Health Commission of the People's Republic of China,Beijing 100190,China;Department of Pharmacy,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Allergy,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100005,China;Department of Emergency Medicine,Qilu Hospital of Shandong University,Jinan 250012,China;Department of Respiratory Medicine,the First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510120,China;Department of Nursing,Peking University Third Hospitaly Beijing 100191,China)
出处
《药物不良反应杂志》
CSCD
2019年第2期85-91,共7页
Adverse Drug Reactions Journal
关键词
指南
过敏反应
休克
急救医学
循证医学
肾上腺素
糖皮质激素类
Guideline
Anaphylaxis
Shock
Emergency medicine
Evidence-based medicine
Epinephrine
Glucocorticoids