ȘOCUL ANAFILACTIC: DIAGNOSTIC, TERAPIE DE URGENȚĂ

September 1, 2005

L. Hecser *, A Șchiopu **, H. Jung ***
* L. Hecser – Conferențiar, UMF Tg. Mureș, director, lnstitutul de Medicină Legală, Tg. Mureș
** A. Șchiopu – Profesor, UMF Tg. Mureș, Disciplina de Fiziopatologie
*** H. Jung – Medic primar legist, Institutul de Medicină Legală, Tg. Mureș

Abstract

Anaphylactic shock is a serious event that could put life in balance. The diagnosis is essentially clinical: ‘hot’ shock with cardiovascular collapse and a dramatic reduction of blood arterial systemic pressure, bronchospasm, and Quincke edema. Other signs may be absent or delayed (pruritus, urticaria, edema). Essentially treatment consists of an intramuscular or intravenous injection of diluted adrenaline. Corticosteroids must only be administered as a second-line treatment. Isolated bronchospasm may benefit from treatment with oxygen and nebulised beta-agonists Death of patient is forensic case.