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Hormazdi医生问:最近对DTP预防接种和接种后不良反应已有及时而全面的评论,然而却未提及如何处理这些不良反应.当儿童出现过度哭闹、神经症状、虚脱和休克等反应时,有何处理方法?体温高于40.5℃、虚脱伴休克样状态、持续哭闹或惊厥等免疫后反应的远期作用是什么?Stein医生(加利福尼亚大学)答:DTP免疫接种后出现的发热和神经病学反应需及时予以内科检查.与百日咳免疫有关的高热通常用醋氨酚和温水海绵浴处理有效.如经退热治疗,仍持续高热,则应检查与百日咳免疫无关的感染过程.较少见的反应如惊厥和虚脱伴休克样状态(低血压-低反应性发作).需立即进行内科检查以评价:(1)病人的神经和心血管状态;
Dr. Hormazdi Q: There has been a timely and comprehensive review of the adverse effects of DTP vaccinations and post-vaccination recently, but no mention has been made of how to deal with these adverse reactions. When children respond to excessive crying, neurological symptoms, collapse and shock, What are the long-term effects of body temperature above 40.5 ℃, collapse with shock-like state, continued cryogenic or convulsive post-immune response? Dr. Stein (University of California) A: fever and neuropathy after DTP immunization School response to be promptly medical examination .Humanity associated with immunization with pertussis is usually treated with acetaminophen and warm water sponge bath .If the antipyretic treatment, still sustained high fever, you should check the immune process with pertussis immunity is less common (Convulsions and collapse with shock-like status (hypotension-low reactivity episodes.) Immediate medical examination is required to assess: (1) the patient’s neurological and cardiovascular status;