Das Angioödem in der Notaufnahme

Laura Bühler1, Bonaventura Schmid1, Elisabeth Fabritius2, Tanja Daniela Grauvogel2
1Zentrum für Notfall- und Rettungsmedizin, Universitätsklinikum Freiburg, Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Freiburg im Breisgau, Deutschland
2Klinik für Hals‑, Nasen- und Ohrenheilkunde, Universitätsklinikum Freiburg, Albert-Ludwigs-Universität Freiburg, Freiburg, Deutschland

Tóm tắt

Akute Angioödeme können potenziell lebensbedrohlich verlaufen. Die vor allem im Kopf-Hals-Bereich auftretenden Schwellungen können in mastzellmediatorvermittelte und bradykininvermittelte Formen unterteilt werden. Die Unterscheidung ist aufgrund der unterschiedlichen therapeutischen Strategien essenziell, wobei im Zweifelsfall immer ein Therapieversuch mit Adrenalin, Antihistaminika und Glukokortikoiden durchgeführt werden sollte. Für die hereditären Angioödeme existiert eine spezifische Therapie, bei medikamentenassoziierten Formen ist der umgehende und lebenslange Stopp der Medikation entscheidend. In der Notfallsituation kann die Diagnose ausschließlich aufgrund von Anamnese und klinischen Symptomen gestellt werden. Die Erkennung einer drohenden Atemwegsverlegung und die Sicherung des Atemwegs hat die höchste Priorität.

Tài liệu tham khảo

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