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中国婴儿轻中度非IgE介导的牛奶蛋白过敏诊断和营养干预指南北大核心CSCD
作者姓名:陈同辛  洪莉  王华  邵洁  杨凡  王莹  刘光辉  徐樨巍  盛晓阳  许春娣
作者单位:1.Department of Allergy/Immunology, Shanghai Children's Medical Center Affiliated to Shanghai Jiaotong University, School of Medicine, National Children's Medical Center (Shanghai), Shanghai200127;2.Department of Nutrition, Shanghai Children's Medical Center Affiliated to Shanghai Jiaotong University, School of Medicine, National Children's Medical Center (Shanghai), Shanghai200127;3.Department of Dermatology, Children's Hospital Affiliated to Chongqing Medical University, Chongqing400015;4.Department of Pediatrics, Ruijin Hospital Affiliated to Shanghai Jiaotong University, School of Medicine, Shanghai200025;5.Department of Child Health Care, West China Second Hospital, Sichuan University, Chengdu610041;6.Department of Gastroenterology, Xinhua Hospital Affiliated to Shanghai Jiaotong University, School of Medicine, Shanghai200092;7.Department of Allergy, Central South Hospital, Wuhan University, Wuhan430062;8.Department of Pediatrics, Beijing Tsinghua Changgung Hospital Affiliated Tsinghua University, Beijing102218;9.Department of Child Health Care, Xinhua Hospital Affiliated to Shanghai Jiaotong University, School of Medicine, Shanghai200092;
摘    要:牛奶蛋白过敏常见于婴幼儿,是由牛奶蛋白引起的异常免疫反应,发病机制可分为IgE或非IgE介导,亦或两者混合介导。目前我国已有多项牛奶蛋白过敏的专家共识,但这些共识均未对IgE和非IgE介导的牛奶蛋白过敏进行区分。鉴于两者在临床上有着明显不同,且婴儿时期非IgE介导的牛奶蛋白过敏更为常见,故中华预防医学会过敏病预防与控制专业委员会组织儿科消化、过敏/免疫、皮肤、营养和儿童保健专业专家,针对非IgE介导的牛奶蛋白过敏类型、临床特征、诊断和营养干预,参考国际指南并结合我国临床实践制定了本指南。本指南的建议更适合基层医师的理解和实践,涉及非IgE介导的牛奶蛋白过敏问题共7大类42条建议。

关 键 词:牛奶蛋白过敏  指南  非IgE介导  婴儿  诊断  营养干预
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