好吃蝦蝦成凶手 過敏性休克差點要了男童命
2022-07-06 記者莊兆暉／台南報導
台南一名13歲小學生某日在學校吃營養午餐時，吃到餐盒裡的鳳梨蝦球，20分鐘後突然感覺呼吸困難，還有皮膚發紅、呼吸急促、嘴唇發紫等狀況，送醫途中已經失去意識，經醫師診斷為過敏性休克，緊急注射腎上腺素、支氣管擴張劑、類固醇，緩解症狀後觀察幾天後出院，奇美醫學中心兒科部主治醫師陳威毓提醒，過敏反應可能在幾分鐘內就快速惡化，引發休克暈厥甚至致命，千萬不可輕忽。
過敏性休克要人命，一名男童吃營養午餐吃到蝦球，竟引發嚴重過敏，差點喪命。(奇美醫學中心提供)
陳威毓說，這名男童患有氣喘，經過門診追縱進行過敏原檢測，發現他對蝦特異性免疫球蛋白呈陽性反應，因不慎吃到蝦球，才引發過敏性休克，差點喪命，因此衛教男童及照護者避免食用到相關食物，同時開立腎上腺素注射筆，若出現類似情形時可以自救。
陳威毓指出，過敏性休克是一種嚴重的全身性過敏反應，症狀又急又快，症狀包括皮膚紅疹發癢、嘔吐、頭暈、眼皮腫、舌頭或咽喉發生腫脹、呼吸困難甚至低血壓、休克，若未能及時處理，在幾分鐘到半小時內就會快速惡化，有致命危機。
奇美醫學中心兒科部主治醫師陳威毓呼籲民眾勿輕忽過敏反應。(奇美醫學中心提供)
陳威毓表示，產生全身性過敏反應時，初期會覺得皮膚發癢、鼻塞、喉頭緊縮感、吸不到空氣、眼前發黑、冒冷汗、站不穩，這時要設法排除過敏原，並讓病患立即平躺避免昏倒摔倒受傷，求助119時立刻告知可能為過敏性休克，病患或是周遭照護者手邊若有腎上腺素注射筆且受過訓練，應立即替病患注射腎上腺素，並送醫救治。
腎上腺素注射筆可針對過敏性休克做出立即處置。(奇美醫學中心提供)
陳威毓建議，對於曾經發生過敏性休克的孩童，應找出誘發過敏性休克的可能性物質並且避免，由家長、兒童與兒科醫師制定緊急就醫計畫，包括應隨身攜帶註明過敏物質的小卡，並由醫師開立處方箋，隨身攜帶腎上腺素注射筆，照護者須了解過敏性休克症狀並學習使用腎上腺素注射筆，若發生類似情形，及早辨識症狀並給予妥善處置。
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