构建分级诊疗体系下的儿童严重过敏反应全程管理

Whole-course management model of anaphylaxis in children under the background of hierarchical medical policy

过敏性疾病是可累及多系统的非感染性疾病,需早诊断早治疗、规范管理。严重过敏反应是系统性过敏综合征,是过敏性疾病中最危急情况之一,一线治疗不足可增加不良预后风险,若不进行规范专科长期管理可反复发作,严重影响患儿及家庭的生活质量。本文拟从分级诊疗模式思考和探讨儿童严重过敏反应长期管理模式,旨在"基层首诊"快速识别严重过敏反应,以实施快速治疗,防止病情加重和降低致死率,并通过"双向转诊""急慢分治""上下联动"预防及避免严重过敏反应的再次发作。

Allergic diseases are non-infectious diseases that can affect multiple systems and require early diagnosis,early treatment and standardized management.Anaphylaxis is a systemic allergic syndrome,which is one of the most critical conditions among allergic diseases.Insufficient first-line treatment can increase the risk of poor prognosis.Anaphylactic reactions can occur repeatedly without specialist long-term management,which seriously affecting the quality of life in children and their families.This review intended to explore the long-term management of anaphylaxis in children under the background of hierarchical policy,aiming to quickly identify anaphylaxis“first diagnosis in community grass-root units”so as to implement rapid treatment to prevent the disease from worsening and reduce the fatality rate,and through“dual referral”,“divide-and-conquer management”,and“vertical linkage”aiming to prevent and avoid the recurrence of anaphylaxis.