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一只低血糖猫心脏骤停后成功的心肺复苏。

Successful cardiopulmonary resuscitation following cardiac arrest in a hypoglycemic cat.

作者信息

McDermott Fergal M, Lewis Kerrie A

机构信息

Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4.

出版信息

Can Vet J. 2020 Feb;61(2):157-160.

PMID:32020934
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6973220/
Abstract

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.

摘要

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。

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1
Successful cardiopulmonary resuscitation following cardiac arrest in a hypoglycemic cat.一只低血糖猫心脏骤停后成功的心肺复苏。
Can Vet J. 2020 Feb;61(2):157-160.
2
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Updates in small animal cardiopulmonary resuscitation.小动物心肺复苏的进展
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本文引用的文献

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Maximal and submaximal mouth opening with mouth gags in cats: implications for maxillary artery blood flow.猫使用开口器时的最大和次最大张口:对上颌动脉血流的影响
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Evaluation of maxillary arterial blood flow in anesthetized cats with the mouth closed and open.评价麻醉状态下闭口和张口的猫上颌动脉血流。
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Hyperoxia, hypocapnia and hypercapnia as outcome factors after cardiac arrest in children.氧中毒、低碳酸血症和高碳酸血症作为儿童心脏骤停后的结局因素。
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RECOVER evidence and knowledge gap analysis on veterinary CPR. Part 6: Post-cardiac arrest care.RECOVER关于兽医心肺复苏的证据与知识差距分析。第6部分:心脏骤停后护理。
J Vet Emerg Crit Care (San Antonio). 2012 Jun;22 Suppl 1:S85-101. doi: 10.1111/j.1476-4431.2012.00754.x.
5
Post-anesthetic cortical blindness in cats: twenty cases.猫麻醉后皮质盲:二十例报告。
Vet J. 2012 Aug;193(2):367-73. doi: 10.1016/j.tvjl.2012.01.028. Epub 2012 Feb 29.
6
Part 9: post-cardiac arrest care: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.第九部分:心脏停搏后治疗:2010 美国心脏协会心肺复苏和紧急心血管急救指南。
Circulation. 2010 Nov 2;122(18 Suppl 3):S768-86. doi: 10.1161/CIRCULATIONAHA.110.971002.
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Post-cardiac arrest syndrome.心脏停搏后综合征。
Minerva Anestesiol. 2010 May;76(5):362-8.
8
Prognostic indicators for dogs and cats with cardiopulmonary arrest treated by cardiopulmonary cerebral resuscitation at a university teaching hospital.在一所大学教学医院接受心肺脑复苏治疗的犬猫心肺骤停的预后指标。
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Cardiopulmonary resuscitation in small animal medicine: an update.
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Postresuscitative intensive care: neuroprotective strategies after cardiac arrest.心肺复苏后重症监护:心脏骤停后的神经保护策略。
Semin Neurol. 2006 Sep;26(4):396-402. doi: 10.1055/s-2006-948320.