Muri B, Schmierer P, Schwarz A, Sigrist N
Department for Small Animals, Vetsuisse Faculty, University of Zurich.
Clinic for Small Animal Surgery, Vetsuisse Faculty, University of Zurich.
Schweiz Arch Tierheilkd. 2018 Apr;160(4):227-233. doi: 10.17236/sat00155.
A 4-year old male Australian Cattle Dog involved in a road traffic accident was presented with severe polytrauma to the Small Animal Clinic, University of Zurich. He was presented in hemorrhagic shock, with an initial lactate of 10.3mmol/l and ongoing bleeding from multiple injury sites. Acute traumatic coagulopathy diagnosed with ROTEM within one hour after accident showed marked hypocoagulation and hyperfibrinolysis. Treatment with a total dose of 40mg/kg of tranexamic acid intravenously resulted in successful elimination of hyperfibrinolysis in the following, serially measured ROTEM tracings.
一只4岁雄性澳大利亚牧牛犬遭遇道路交通事故后，被送至苏黎世大学小动物诊所，呈现出严重的多发伤。它因失血性休克就诊，初始乳酸水平为10.3mmol/l，且多个损伤部位持续出血。事故发生后一小时内通过旋转血栓弹力图（ROTEM）诊断出急性创伤性凝血病，显示出明显的低凝和高纤维蛋白溶解。静脉注射总量为40mg/kg的氨甲环酸进行治疗，在随后连续测量的ROTEM描记图中成功消除了高纤维蛋白溶解。
