Hoareau Guillaume L, Epstein Steven E, Palm Carrie, Ybarra Winnie, Jandrey Karl E, Cowgill Larry D
Veterinary Medical Teaching Hospital (Hoareau, Ybarra); School of Veterinary Medicine, University of California-Davis, Davis, CA, 95616.
J Vet Emerg Crit Care (San Antonio). 2014 Nov-Dec;24(6):724-30. doi: 10.1111/vec.12248. Epub 2014 Nov 6.
To describe the management and resolution of anuric acute kidney injury (AKI) in a dog with multiple organ dysfunction syndrome (MODS) associated with gallbladder wall necrosis.
An 11-year-old neutered female spayed dog was referred for evaluation of anuria following cholecystectomy. Following surgery, the patient became anuric with no response to appropriate medical therapy. During the course of hospitalization, the patient developed MODS as evidenced by alteration in renal function, but also cardiovascular dysfunction, coagulation disorders, and hypoglycemia. Several hemodialysis treatments were performed and, along with intensive care, led to resolution of clinical signs and return of urine production.
This report describes resolution of anuria in a dog with AKI and MODS. In this clinical setting, despite a poor prognosis, survival and recovery of adequate renal function were possible with medical management that included hemodialysis.
描述一只患有与胆囊壁坏死相关的多器官功能障碍综合征（MODS）的犬无尿性急性肾损伤（AKI）的处理及转归。
一只11岁已绝育的雌性犬在胆囊切除术后因无尿被转诊评估。术后，该患者出现无尿，对适当的药物治疗无反应。在住院期间，患者出现了MODS，表现为肾功能改变，同时还有心血管功能障碍、凝血障碍和低血糖。进行了几次血液透析治疗，并结合重症监护，使临床症状得到缓解，尿液生成恢复。
本报告描述了一只患有AKI和MODS的犬无尿症状的缓解情况。在这种临床情况下，尽管预后不良，但通过包括血液透析在内的药物治疗，仍有可能存活并恢复足够的肾功能。
