Russian Journal of AllergyRussian Journal of AllergyРоссийский Аллергологический Журнал1810-88302686-682XPublishing House ABV Press142210.36691/RJA1422ReviewsНаучные обзорыResearch ArticleАnaphylactic shock. Сlinical guidelinesАнафилактический шок. Клинические рекомендацииhttps://orcid.org/0000-0002-7691-45849941-7013AstafievaNatalya G.АстафьеваНаталья Григорьевна
Russian Federation

MD, Dr. Sci. (Med.), Professor

д.м.н., профессор

astang@mail.ruhttps://orcid.org/0000-0001-7577-32843098-0228BayalievaAinagul Zh.БаялиеваАйнагуль Жолдошевна
Russian Federation

MD, Dr. Sci. (Med.), Professor

д.м.н., профессор

bayalieva1@yandex.ruhttps://orcid.org/0000-0002-3556-969X5142-1661ZabolotskikhIgor B.ЗаболотскихИгорь Борисович
Russian Federation

MD, Dr. Sci. (Med.), Professor

д.м.н., профессор

zib@mail.ru6715-5650IlyinaNatalya I.ИльинаНаталья Ивановна
Russian Federation

MD, Dr. Sci. (Med.), Professor

д.м.н., профессор

instimmun@yandex.ruhttps://orcid.org/0000-0002-7768-45147209-3863KulikovAlexander V.КуликовАлександр Вениаминович
Russian Federation

MD, Dr. Sci. (Med.), Professor

д.м.н., профессор

kulikov1905@yandex.ruhttps://orcid.org/0000-0003-1508-06408929-7644LatyshevaTatiana V.ЛатышеваТатьяна Васильевна
Russian Federation

MD, Dr. Sci. (Med.), Professor

д.м.н., профессор

tvlat@mail.ruhttps://orcid.org/0000-0002-5752-48123590-2308LebedinskiiKonstantin М.ЛебединскийКонстантин Михайлович
Russian Federation

MD, Dr. Sci. (Med.), Professor

д.м.н., профессор

mail@lebedinski.comhttps://orcid.org/0000-0001-9285-852X8870-0230MusaevaTatiana S.МусаеваТатьяна Сергеевна
Russian Federation

MD, Cand. Sci. (Med.)

к.м.н.

musayeva_tanya@mail.ruhttps://orcid.org/0000-0001-8491-195X4684-3112MyasnikovaTatiana N.МясниковаТатьяна Николаевна
Russian Federation

MD, Cand. Sci. (Med.)

к.м.н.

t_miasnikova@mail.ruhttps://orcid.org/0000-0001-5039-84739722-7961PampuraAlexander N.ПампураАлександр Николаевич
Russian Federation

MD, Dr. Sci. (Med.), Professor

д.м.н., профессор

apampura1@mail.ruhttps://orcid.org/0000-0001-9322-26891748-7760FassakhovRustem S.ФассаховРустэм Салахович
Russian Federation

MD, Dr. Sci. (Med.), Professor

д.м.н., профессор

farrus@mail.ruhttps://orcid.org/0000-0003-3767-09243335-3394KhludovaLudmila G.ХлудоваЛюдмила Геннадьевна
Russian Federation

MD

Lg.khludova@gmail.comhttps://orcid.org/0000-0002-6113-84984582-8494ShifmanEfim M.ШифманЕфим Муневич
Russian Federation

MD, Dr. Sci. (Med.), Professor

д.м.н., профессор

eshifman@mail.ruMinistry of Health and Social Development of the Russian Federation State Educational Institution of Higher Professional Education Saratov State Medical University named after V.I. RazumovskyСаратовский государственный медицинский университет имени. В.И. РазумовскогоKazan State Medical UniversityКазанский государственный медицинский университетRussian Federation of Anesthesiologists and ReanimatologistsОбщероссийская общественная организация «Федерация анестезиологов и реаниматологов»State Budgetary educational institution of higher professional education Kuban State Medical University of the Ministry of Healthcare of the Russian FederationКубанский государственный медицинский университетRussian Assotiation of Allergology and Clinical ImmunologyРоссийская ассоциация аллергологов и клинических иммунологовNational Research Center – Institute of Immunology Federal Medical-Biological Agency of RussiaГосударственный научный центр Институт иммунологии Федерального медико-биологического агентстваUral State Medical UniversityУральский государственный медицинский университетMoscow State University of Medicine and Dentistry named after A.I. EvdokimovМосковский государственный медико-стоматологический университет имени А.И. ЕвдокимоваNorth-Western State Medical University named after I.I. MechnikovСеверо-Западный государственный медицинский университет имени И.И. МечниковаThe Russian National Research Medical University named after N.I. PirogovРоссийский национальный исследовательский медицинский университет имени Н.И. ПироговаKazan Federal UniversityКазанский (Приволжский) федеральный университетRussian Federation of Anesthesiologists and Reanimatologists,Общероссийская общественная организация «Федерация анестезиологов и реаниматологов»Moscow Regional Research and Clinical InstituteМосковский областной научно-исследовательский клинический институт имени М.Ф. Владимирского120320211503202118156720303202103032021Copyright ©; 2021, Pharmarus Print MediaCopyright ©; 2021, Фармарус Принт Медиа2021Pharmarus Print MediaФармарус Принт Медиаhttps://creativecommons.org/licenses/by-nc-nd/4.0/https://rusalljournal.ru/raj/article/view/1422

Anaphylactic shock is a severe life-threatening condition caused by medicines, food, hymenoptera, animal poisons, etc. Therefore, anaphylactic shock (anaphylaxis) can develop both in medical institution and outside it, and physicians of any specialties should be ready to treat this condition. In this regard, clinical guidelines for anaphylactic shock have been developed. These recommendations were approved by the Russian Association of Allergy and Clinical Immunology (Protocol No. 743/12 dated December 30, 2020) and the Federation of Anesthesiologists and Resuscitators (Protocol No. 1 dated January 13, 2021), approved at a meeting of the Scientific and Practical Council of the Ministry of Health of the Russian Federation (Protocol No. 743/12 dated December 10, 2020). Guidelines covered a number of nosologies corresponding to codes of the International Statistical Classification of Diseases and Related Health Problems: T 78.0; T 78.2; T 80.5; T 88.6. The clinical guidelines systematize modern data on etiology, epidemiology, classification, clinical picture, diagnosis, treatment, and prevention of anaphylactic shock. In addition, an algorithm for managing a patient with anaphylactic shock has been developed.

Clinical guidelines for anaphylactic shock are intended for practitioners of all specialties, students, and teachers of medical universities, residents, and graduate students.

Анафилактический шок ― тяжёлая жизнеугрожающая реакция организма, причиной развития которой могут быть лекарственные средства, пищевые продукты, яды перепончатокрылых и животных и пр. Именно поэтому анафилактический шок (анафилаксия) может развиться как в медицинском учреждении, так и вне его, и врачи любых специальностей должны быть готовы к купированию этого состояния. В связи с этим Российской ассоциацией аллергологов и клинических иммунологов (протокол № 743/12 от 30.12.2020) и Федерацией анестезиологов и реаниматологов (протокол № 1 от 13.01.2021) были разработаны, утверждены и одобрены на заседании научно-практического совета Министерства здравоохранения Российской Федерации (протокол от 10.12.2020 № 743/12) клинические рекомендации по анафилактическом шоку с охватом ряда нозологий, соответствующих кодам Международной статистической классификации болезней и проблем, связанных со здоровьем, T78.0; T78.2; T80.5; T88.6, где систематизированы современные данные по этиологии, эпидемиологии, классификации, клинической картине, диагностике, лечению и профилактике анафилактического шока. Разработан алгоритм ведения пациента с анафилактическим шоком.

Клинические рекомендации по анафилактическому шоку предназначены для практикующих врачей всех специальностей, студентов и преподавателей медицинских вузов, ординаторов, аспирантов медицинских вузов.

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