{"id":125,"date":"2023-01-12T10:04:53","date_gmt":"2023-01-12T02:04:53","guid":{"rendered":"https:\/\/webdept.fjuh.fju.edu.tw\/FjuhDep\/ped\/?p=125"},"modified":"2023-01-12T10:12:32","modified_gmt":"2023-01-12T02:12:32","slug":"%e6%80%a5%e6%80%a7%e8%95%81%e9%ba%bb%e7%96%b9","status":"publish","type":"post","link":"https:\/\/webdept.fjuh.fju.edu.tw\/FjuhDep\/ped\/2023\/01\/12\/%e6%80%a5%e6%80%a7%e8%95%81%e9%ba%bb%e7%96%b9\/","title":{"rendered":"\u6025\u6027\u8541\u9ebb\u75b9"},"content":{"rendered":"\t\t
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\u6025\u6027\u8541\u9ebb\u75b9<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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\u9673\u5efa\u7ff0
\n\u8f14\u5927\u91ab\u9662.\u5152\u7ae5\u91ab\u5b78\u90e8\u4e3b\u4efb
\n\u8f14\u5927\u91ab\u5b78\u9662.\u91ab\u5b78\u7cfb\u52a9\u7406\u6559\u6388<\/a><\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\u8541\u9ebb\u75b9\u662f\u76ae\u819a\u4e0a\u5ffd\u7136\u767c\u751f\u7684\u7d05\u8272\u6216\u7c89\u7d05\u8272\u7684\u6d6e\u8d77\u6591\u584a\uff0c\u6216\u7a31\u4f5c\u98a8\u75b9\u584a\u3002\u98a8\u75b9\u584a
\u5916\u570d\u6709\u908a\u754c\uff0c\u4e2d\u592e\u6709\u6642\u5448\u73fe\u84bc\u767d\u72c0\u3002\u98a8\u75b9\u584a\u5f62\u72c0\u53ef\u4ee5\u662f\u5713\u5f62\uff0c\u5375\u5713\u5f62\uff0c\u6216\u86c7\u5f62\uff0c
\u5927\u5c0f\u4e0d\u5b9a\uff0c\u53ef\u7531\u76f4\u5f91\u5c0f\u65bc 1 \u516c\u5206\u5230\u6578\u516c\u5206\u3002\u7576\u98a8\u75b9\u584a\u9762\u7a4d\u64f4\u5927\u6642\u6578\u500b\u8541\u9ebb\u75b9\u53ef\u80fd
\u6703\u878d\u5408\u5728\u4e00\u8d77\uff0c\u6703\u6709\u5f37\u70c8\u7684\u7662\u611f\uff0c\u4e0d\u6703\u75db\uff0c\u901a\u5e38\u665a\u4e0a\u7279\u5225\u56b4\u91cd\u3002\u8541\u9ebb\u75b9\u4f86\u5f97\u5feb\u4e5f
\u53bb\u5f97\u5feb\uff0c\u901a\u5e38\u53ea\u6301\u7e8c\u6578\u5206\u9418\u5230\u6578\u5c0f\u6642\uff0c\u7136\u5f8c\u65bc 24 \u5c0f\u6642\u5167\u6d88\u9000\u4e0d\u898b\uff0c\u4e0d\u7559\u75d5\u8de1\uff0c
\u9664\u975e\u662f\u81ea\u5df1\u6293\u50b7\u7559\u4e0b\u7684\u50b7\u75d5\u3002\u5168\u8eab\u4e0a\u4e0b\u90fd\u53ef\u80fd\u6703\u6709\uff0c\u5c24\u5176\u662f\u8863\u670d\u58d3\u8feb\u8655(\u5982\u8932\u5b50
\u9b06\u7dca\u5e36\u52d2\u4f4f\u7684\u5730\u65b9)\u6216\u76ae\u819a\u5c0d\u78e8\u7684\u5730\u65b9(\u5982\u814b\u4e0b)\u3002\u88ab\u58d3\u8feb\u8655\u4e00\u65e6\u8863\u670d\u89e3\u958b\uff0c\u6703\u8b8a
\u5f97\u66f4\u56b4\u91cd\u00a0\u3002\u5927\u7d04\u6709 15-30%\u7684\u8541\u9ebb\u75b9\u6703\u5408\u4f75\u8840\u7ba1\u6027\u6c34\u816b\uff0c\u5c24\u5176\u662f 3 \u6b72\u4ee5\u4e0b\u5152\u7ae5 2
\u3002\u76f8\u8f03\u65bc\u8541\u9ebb\u75b9\uff0c\u8840\u7ba1\u6027\u6c34\u816b\u7684\u81a8\u8139\u6703\u66f4\u6df1\u5165\u76ae\u819a\uff0c\u597d\u767c\u65bc\u81c9\uff0c\u5634\u5507\uff0c\u56db\u80a2\uff0c\u53ca\u751f
\u6b96\u5668\u3002<\/h4>

\u8541\u9ebb\u75b9\u96d6\u7136\u53cd\u8986\u767c\u4f5c\uff0c\u4f46\u901a\u5e38 2 \u81f3 3 \u9031\u5167\u6703\u6d88\u5931\u4e0d\u898b\uff0c\u6301\u7e8c\u671f\u9593\u5c0f\u65bc\u516d\u9031\u8005\u7686
\u7a31\u70ba\u6025\u6027\u8541\u9ebb\u75b9 \u3002<\/h4>

\u6025\u6027\u8541\u9ebb\u75b9\u7684\u539f\u56e0\u5305\u62ec :
(1)\u611f\u67d3: \u75c5\u6bd2\uff0c\u5bc4\u751f\u87f2\uff0c\u7d30\u83cc\u3002\u547c\u5438\u9053\u75c5\u6bd2\u662f\u5152\u7ae5\u6025\u6027\u8541\u9ebb\u75b9\u6700\u5e38\u898b\u7684\u539f
\u56e0\u3002\u7531 IgE \u5a92\u4ecb\u7684\u904e\u654f: \u85e5\u7269\uff0c\u6606\u87f2\u53ee\u54ac(\u9ec3\u80e1\u8702\uff0c\u871c\u8702\uff0c\u9ec3\u8702\uff0c\u7d05\u706b
\u87fb\uff0c\u9310\u9f3b\u87f2)\uff0c\u98df\u7269\uff0c\u4e73\u81a0 (\u63a5\u89f8\u6216\u5438\u5165)\uff0c\u63a5\u89f8\u904e\u654f (\u4f8b\u5982\u52d5\u7269\u53e3\u6c34
\u6216\u751f\u98df)\uff0c\u8f38\u8840\u53cd\u61c9\uff0c\u98df\u54c1\u6dfb\u52a0\u5291\uff0c\u5438\u5165\u6027\u904e\u654f\u539f(\u7f55\u898b)\u3002\u76f4\u63a5\u6fc0\u767c\u80a5
\u5927\u7d30\u80de: \u9ebb\u9189\u5291\uff0c\u55ce\u5561\uff0c\u808c\u8089\u9b06\u5f1b\u5291\uff0c\u986f\u5f71\u5291\uff0c\u842c\u53e4\u9ef4\u7d20\u3002\u7269\u7406\u6027\u523a
\u6fc0: \u76ae\u819a\u5283\u75d5\u75c7(\u7531\u624b\u5283\u6216\u6293\u5f15\u8d77)\uff0c\u5ef6\u9072\u58d3\u529b\u53cd\u61c9(\u65bd\u52a0\u58d3\u529b 4~6 \u5c0f\u6642
\u5f8c\u7522\u751f)\uff0c\u5c40\u90e8\u7d66\u4e88\u51b0\u51b7\uff0c\u5c40\u90e8\u52a0\u71b1\uff0c\u81bd\u9e7c\u6027\u53cd\u61c9(\u8d77\u56e0\u65bc\u4e3b\u52d5\u6216\u88ab\u52d5
\u52a0\u71b1\u8eab\u9ad4\uff0c\u904b\u52d5\uff0c\u60c5\u7dd2\u6fc0\u52d5\uff0c\u6ce1\u5728\u71b1\u6c34\u88e1\u7b49)\uff0c\u9707\u52d5 (\u5982\u9a0e\u6469\u6258\u8eca\uff0c\u767b
\u5c71\u8173\u8e0f\u8eca\u7b49)\uff0c\u8207\u6c34\u63a5\u89f8\uff0c\u967d\u5149\u7167\u5c04\u3002\u5176\u4ed6\u6a5f\u8f49: \u975e\u985e\u56fa\u9187\u6297\u767c\u708e\u85e5\uff0c
\u8840\u6e05\u75c5\uff0c\u975e IgE \u5a92\u4ecb\u7684\u8f38\u8840\u53cd\u61c9, \u8cc0\u723e\u8499 (\u4f8b\u5982\u5b55\u916e) \u3002
\u6025\u6027\u8541\u9ebb\u75b9\u5c6c\u65bc\u81e8\u5e8a\u8a3a\u65b7\uff0c\u56e0\u6b64\u85c9\u7531\u8a73\u7d30\u7684\u75c5\u53f2\u8a62\u554f\u53ca\u8eab\u9ad4\u6aa2\u67e5\u5373\u53ef\u8a3a\u65b7\u3002
\u75c5\u53f2\u8a62\u554f\u4e3b\u8981\u662f\u70ba\u4e86\u78ba\u8a8d\u8541\u9ebb\u75b9\u7684\u7279\u5fb5\uff0c\u820a\u7684\u98a8\u75b9\u584a\u65bc 24 \u5c0f\u6642\u5167\u6d88\u9000\u4e0d\u898b\u8005\u624d
\u662f\u8541\u9ebb\u75b9(\u4f46\u65b0\u7684\u53ef\u4ee5\u4e0d\u65b7\u5192\u51fa\u4f86)\u3002\u8eab\u9ad4\u6aa2\u67e5\u4e3b\u8981\u662f\u89aa\u773c\u89c0\u5bdf\u75b9\u5b50\u7684\u5916\u89c0\u662f\u5426\u7b26
\u5408\u98a8\u75b9\u584a\u7684\u6a23\u5b50\uff0c\u82e5\u75b9\u5b50\u525b\u597d\u6d88\u9000\uff0c\u4e5f\u53ef\u89c0\u5bdf\u75c5\u4eba\u6216\u5bb6\u5c6c\u624b\u6a5f\u88e1\u7684\u60a3\u90e8\u7167\u7247\u3002<\/h4>

\u6025\u6027\u8541\u9ebb\u75b9\u8207\u5176\u5b83\u75be\u75c5\u4f5c\u5340\u5225\u7684\u95dc\u9375\u7279\u5fb5\u5728\u65bc\u5b83\u901a\u5e38\u65bc 24 \u5c0f\u6642\u5167\u6d88\u9000\uff0c\u4e0d
\u6703\u8d77\u6c34\u6ce1\uff0c\u4e0d\u6703\u812b\u76ae\uff0c\u4e14\u6d88\u5931\u5f8c\u5b8c\u5168\u4e0d\u7559\u75d5\u8de1\u3002\u9808\u7559\u610f\u7684\u9451\u5225\u8a3a\u65b7\u5305\u62ec:
(1)\u591a\u5f62\u6027\u7d05\u6591:\u6709\u6a19\u9776\u75c5\u7076\uff0c\u540c\u4f4d\u7f6e\u6301\u7e8c\u6578\u5929,\u6709\u6642\u4e2d\u592e\u6703\u6709\u6c34\u6ce1\uff0c\u6709\u6642\u6709
\u9ecf\u819c\u7684\u78e8\u640d\u6216\u6f70\u760d\u3002
(2)\u6bd2\u6027\u7d05\u6591: \u8d77\u521d\u770b\u8d77\u4f86\u50cf\u8541\u9ebb\u75b9\uff0c\u4f46\u5169\u5074\u5c0d\u7a31\uff0c\u4e14\u540c\u4f4d\u7f6e\u6301\u7e8c\u6578\u5929\u3002\u6025
\u6027\u6fd5\u75b9: \u53ef\u4ee5\u7d05\u6216\u816b\uff0c\u4f46\u6703\u6709\u8868\u76ae\u5c64\u76ae\u819a\u7684\u8b8a\u5316\uff0c\u4f8b\u5982\u6d41\u51fa\u7d44\u7e54\u6db2\u6216\u8d77
\u5c0f\u6c34\u6ce1\uff0c\u7136\u5f8c\u812b\u5c51\uff0c\u540c\u4f4d\u7f6e\u6301\u7e8c\u6578\u5929\u3002\u8702\u7aa9\u6027\u7d44\u7e54\u708e: \u53ef\u4ee5\u770b\u8d77\u4f86\u5f88\u50cf
\u5927\u584a\u7684\u98a8\u75b9\u584a\uff0c\u4f46\u53ea\u6703\u51fa\u73fe\u5728\u55ae\u5074\uff0c\u4e14\u6301\u7e8c\u6578\u5929\u4e0d\u6d88\u9000\uff0c\u6703\u75bc\u75db\uff0c\u5c40\u90e8
\u767c\u71b1\uff0c\u53ef\u80fd\u767c\u71d2\u3002\u8541\u9ebb\u75b9\u6027\u8840\u7ba1\u708e: \u9577\u671f\u7684\u98a8\u75b9\u584a\uff0c\u901a\u5e38\u6703\u75db\uff0c\u53ef\u80fd\u6709
\u707c\u71b1\u611f\uff0c\u6709\u4e9b\u6703\u7662\uff0c\u540c\u4f4d\u7f6e\u81f3\u5c11\u6301\u7e8c\u6578\u5929\uff0c\u6d88\u9000\u6642\u51fa\u73fe\u7600\u9752\u3002 \u81ea\u9ad4\u514d
\u75ab\u5927\u6c34\u6ce1\u75be\u75c5: \u8d77\u521d\u770b\u8d77\u4f86\u50cf\u8541\u9ebb\u75b9\uff0c\u4f46\u4e4b\u5f8c\u8d77\u5927\u6c34\u6ce1\u3002<\/h4>

\u6025\u6027\u8541\u9ebb\u75b9\u7684\u85e5\u7269\u6cbb\u7642\u5206\u70ba\u4ee5\u4e0b\u5e7e\u985e 1,2:
(1) H1 \u6297\u7d44\u7e54\u80fa(antihistamine): \u5206\u70ba\u7b2c\u4e00\u4ee3\u53ca\u7b2c\u4e8c\u4ee3\u3002
\u00a0 \u00a0 \u00a0 1) \u7b2c\u4e8c\u4ee3\u6297\u7d44\u7e54\u80fa:\u662f\u9996\u9078\uff0c\u56e0\u70ba\u6bd4\u8f03\u4e0d\u6703\u55dc\u7761\uff0c\u4e14\u4e00\u5929\u53ea\u8981\u5403 1~2
\u6b21\u8f03\u65b9\u4fbf\u3002
\u00a0 \u00a0 \u00a02) \u7b2c\u4e00\u4ee3\u6297\u7d44\u7e54\u80fa: \u89aa\u8102\u6027\uff0c\u6240\u4ee5\u6703\u8de8\u904e\u8840\u8166\u5c4f\u969c, \u5f15\u8d77\u55dc\u7761\u53ca\u6297\u81bd
\u9e7c\u526f\u4f5c\u7528\u3002
(2) H2 \u6297\u7d44\u7e54\u80fa: \u5c6c\u65bc\u80c3\u85e5\u7684\u4e00\u7a2e\uff0c\u4f46\u5c0d\u8541\u9ebb\u75b9\u6709\u7279\u6b8a\u7684\u6548\u679c\u3002
(3)\u985e\u56fa\u9187(steroid): \u5ee3\u6cdb\u5730\u6297\u767c\u708e\uff0c\u8207\u6297\u7d44\u7e54\u80fa\u540c\u6642\u4f7f\u7528\uff0c\u9069\u7528\u65bc\u6301\u7e8c\u8f03
\u591a\u5929(\u5c0d\u6297\u7d44\u7e54\u80fa\u53cd\u61c9\u5dee)\u6216\u5408\u4f75\u6709\u660e\u986f\u8840\u7ba1\u6027\u6c34\u816b\u7684\u8541\u9ebb\u75b9\u3002<\/h4>
\u00a0<\/div>
\u00a0<\/div>

\u00a0<\/h4>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
\n\t\t\t\t\t\t
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\u53c3\u8003\u6587\u737b
1. Asero R. New-onset urticaria. UpToDate 2020.
2. Sabroe RA. Acute urticaria. Immunology & Allergy Clinics of North America
2014;34:11-21.
3. Dice JP, Gonzalez-Reyes E. Physical (inducible) forms of urticaria. UpToDate 2020.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

\u6025\u6027\u8541\u9ebb\u75b9 \u9673\u5efa\u7ff0 \u8f14\u5927\u91ab\u9662.\u5152\u7ae5\u91ab\u5b78\u90e8\u4e3b\u4efb \u8f14\u5927\u91ab\u5b78\u9662.\u91ab\u5b78\u7cfb\u52a9\u7406\u6559\u6388 \u8541\u9ebb\u75b9\u662f\u76ae\u819a\u4e0a\u5ffd\u7136\u767c\u751f\u7684\u7d05\u8272\u6216\u7c89\u7d05\u8272 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