DIAGNOSIS AND MANAGEMENT OF ANAPHYLAXIS IN EMERGENCY DEPARTMENT OF HANOI MEDICAL UNIVERSITY HOSPITAL FROM 2014 TO 2017

Hoang Bui Hai, Dang Trung Anh, Bui Thi Huong Thao

Tóm tắt


This study was intended to understand how the anaphylaxis patients were diagnosed and treated in the Emergency Department (ED) of Hanoi Medical University Hospital before the Vietnamese Ministry of Health launched the new protocol at the end of 2017. A retrospective crossection observational study was conducted to include 84 cases diagnosed and treated for anaphylaxis. The results showed that 92.7% of diagnosed patients adhered to the protocol set forth by World Allergy Organizationfrom 2011 to 2015, 7.1% of those were found ineligible but still diagnosed with anaphylaxis. Mucocutaneous symptoms were the most common (91.7% of patients), followed by respiratory symptoms (66.67%), reduced BP (50%), neurological symptoms (23.8%) and gastrointestinal symptoms (19%). Epinephrine was used in 97.6% of patients. All the patients were administered Epinephrine IM; 11.9% of patients had to use IV then continuous IV Epinephrine. Other medications/interventions that were used included corticosteroids, antihistamine, fluid infusion, and oxygen therapy. Anaphylaxis resolved in all patients following treatment; there were no severe or fatal cases identified. In conclusion, the diagnosis and treatment of anaphylaxis at Hanoi Medical University Hospital were practically updated to new global guidelines.

 


Từ khóa


anaphylaxis, Hanoi Medical University Hospital

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Tài liệu tham khảo


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