McDermott Fergal M, Lewis Kerrie A
Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4.
Can Vet J. 2020 Feb;61(2):157-160.
This case highlights the successful recovery to discharge of a hypothermic cat in cardiac arrest, with minimal lasting clinical signs. Immediately after resuscitation, the cat was blind and non-ambulatory paraparetic. Within 4 days, the cat became fully ambulatory, but vision loss remains. We believe that the cat's hypothermia likely contributed to this successful outcome. Other factors which may have played a role in the cat's recovery were the administration of mannitol and anti-seizure medications. Key clinical message: We share learning points regarding re-warming rates for hypothermic patients and the use of Doxapram for stimulation of the central respiratory center.
该病例突出显示了一只心脏骤停的低温猫成功复苏并出院,且几乎没有留下持久的临床体征。复苏后,这只猫立即失明且双下肢轻瘫无法行走。4天内,这只猫完全恢复了行走能力,但视力仍未恢复。我们认为,这只猫的低温状态可能促成了这一成功结果。其他可能对这只猫的恢复起到作用的因素包括甘露醇和抗癫痫药物的使用。关键临床信息:我们分享了有关低温患者复温速率以及使用多沙普仑刺激中枢呼吸中枢的经验教训。