Bovens Catherine, Gruffydd-Jones Tim
The Feline Centre, School of Veterinary Science, University of Bristol, Bristol, UK.
J Feline Med Surg. 2013 Feb;15(2):62-7. doi: 10.1177/1098612X12460530. Epub 2012 Sep 14.
Xenotransfusion (the transfusion of blood from another species) of canine blood to cats has been historically performed commonly and is still performed nowadays in some countries. Considering the current lack of commercial availability of haemoglobin-based oxygen carrier solution (Oxyglobin), there may be rare occasions when treating an anaemic cat when compatible feline blood cannot be obtained, and where a transfusion with canine blood may need to be considered as a life-saving procedure. This article reviews the published evidence about feline xenotransfusion with canine blood and the results that can be expected with this procedure. Published evidence in a limited number of cases (62 cats) indicates that cats do not appear to have naturally-occurring antibodies against canine red blood cell antigens: compatibility tests prior to the first transfusion did not demonstrate any evidence of agglutination or haemolysis of canine red cells in feline serum or plasma. No severe acute adverse reactions have been reported in cats receiving a single transfusion with canine whole blood. Anaemic cats receiving canine blood are reported to improve clinically within hours. However, antibodies against canine red blood cells are produced rapidly and can be detected within 4-7 days of the transfusion, leading to the destruction of the transfused canine red cells in a delayed haemolytic reaction. The average lifespan of the transfused canine red cells is less than 4 days. Any repeated transfusion with canine blood later than 4-6 days after the first transfusion causes anaphylaxis, which is frequently fatal.
历史上,将犬类血液输给猫(异种输血)的情况很常见,如今在一些国家仍有发生。鉴于目前基于血红蛋白的氧载体溶液(Oxyglobin)尚无商业供应,在治疗贫血猫时,若无法获得匹配的猫血,可能会有罕见情况需要考虑输注犬血作为挽救生命的措施。本文回顾了已发表的关于猫接受犬血异种输血的证据以及该操作可能产生的结果。有限数量病例(62只猫)的已发表证据表明,猫似乎没有针对犬红细胞抗原的天然抗体:首次输血前的相容性测试未显示猫血清或血浆中犬红细胞有任何凝集或溶血迹象。接受单次犬全血输血的猫未报告有严重急性不良反应。据报道,接受犬血的贫血猫在数小时内临床症状有所改善。然而,针对犬红细胞的抗体产生迅速,输血后4 - 7天内即可检测到,导致在迟发性溶血反应中输入的犬红细胞被破坏。输入的犬红细胞平均寿命不到4天。首次输血后4 - 6天之后的任何重复犬血输血都会引发过敏反应,且往往是致命的。