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Preventing anaphylactic shock in children

Việt NamViệt Nam09/10/2024


Anaphylaxis in children is a potentially fatal medical emergency that requires prompt medical attention and treatment.

Recently, the Pediatric Center - Bach Mai Hospital has received many cases of children hospitalized in a life-threatening state of anaphylaxis.

The case of patient LAH (born in 2017, Ha Giang ) was transferred to a private hospital in a state of high fever, infectious rash, itchy rash all over the body, fatigue, epigastric pain, difficulty breathing, rapid heart rate, and abdominal distension.

Through examination and questioning, doctors learned that 5 days before being admitted to the hospital, the patient had a dry cough, no fever, and the family bought antibiotics, cough medicine, and anti-inflammatory drugs to take.

There were dozens of different types of medicine that the family arbitrarily bought for the child to take. After taking the medicine for 1 day, the patient had a stomachache, fever of nearly 38 degrees Celsius, itching, rash all over the body, the family continued to give the child anti-allergy medicine, but it did not help, the child had more red pimples and itching, severe stomach pain.

Doctors from the Pediatric Center - Bach Mai Hospital examine children being treated at the Center.

The family took him to a nearby hospital for treatment, but his condition did not improve so they transferred him to Bach Mai Hospital.

At the Pediatric Center, the patient was clinically examined and ordered to do some tests such as blood biochemistry, blood gas and basic coagulation. The patient was diagnosed with grade 2 anaphylaxis, suspected to be due to drug allergy, including some antibiotics, expectorants, anti-inflammatory drugs, anti-allergy drugs and some unlabeled pills.

Fortunately, the patient was treated immediately according to the anaphylaxis protocol for children at a lower-level hospital. There was a risk that the patient could have gone into phase 2 shock and the child was still in a very serious condition, so he was transferred to the Pediatric Center - Bach Mai Hospital for further treatment.

After more than 1 week of treatment at the Pediatric Center, the patient has overcome the critical stage and has shown positive changes, gradually recovering his health.

Anaphylaxis in children is an immediate hypersensitive reaction of the body when an allergen (drugs, foods, etc.) enters the body. It is a medical emergency that requires rapid diagnosis, emergency care, and early treatment to protect the child's life.

Clinical manifestations of anaphylaxis are very diverse in many organs such as: Respiratory (nasal congestion, sneezing, laryngeal edema, difficulty breathing, bronchospasm, respiratory muscle contraction, apnea...), Cardiovascular (tachycardia, hypotension, arrhythmia, cardiac arrest...), Neurological (shivering, sweating, fever, headache, dizziness, convulsions, coma, restlessness, trembling limbs, fainting, fainting...), Digestive (abdominal pain, nausea, incontinence, bloody stools), Dermatological (urticaria, erythema, itching).

Parents, teachers, caregivers, schools and families need to properly manage food sources, medicine sources and chemical sources for children.

Absolutely do not buy medicine for your children without a prescription from a specialist at a medical facility, do not let children come into contact with chemicals, do not play in environments with insects, and strictly manage their food and drinks.

When you see your child showing unusual symptoms, you need to urgently take the child to the nearest medical facility for examination.


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