Bell Amy L, Gladden Jay N, Graham Jennifer E
Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, North Grafton, MA.
J Vet Emerg Crit Care (San Antonio). 2020 May;30(3):336-341. doi: 10.1111/vec.12943. Epub 2020 Feb 20.
To describe the diagnosis, management, and outcome of a ferret with spontaneous hemoperitoneum with surgical intervention and xenotransfusion of type A feline packed red blood cells (pRBCs).
A domestic ferret diagnosed with a spontaneous hemoperitoneum secondary to a hepatic mass received isotonic crystalloids, hypertonic saline, and an allogenic blood transfusion perioperatively. Postoperatively, the ferret developed progressive anemia and tachycardia refractory to fluid therapy and, given a lack of additional allogenic blood sources, received a xenotransfusion of feline pRBCs. The ferret was hospitalized for 4 days postoperatively and developed a presumed delayed transfusion reaction characterized by transient hyperbilirubinemia. At a 6-month recheck, the ferret was doing well clinically.
This is the first reported case of successful xenotransfusion of feline pRBCs in a ferret. Although xenotransfusion of ferrets with feline blood products is not recommended as a routine procedure, it remains a viable option in critical situations in which ferret blood is unavailable.
描述一只患有自发性腹腔积血的雪貂在接受手术干预和输注A型猫浓缩红细胞(pRBCs)进行异种输血后的诊断、治疗及预后情况。
一只因肝脏肿块继发自发性腹腔积血的家养雪貂在围手术期接受了等渗晶体液、高渗盐水和同种异体输血。术后,这只雪貂出现进行性贫血和对液体治疗无效的心动过速,由于缺乏额外的同种异体血源,接受了猫pRBCs的异种输血。术后这只雪貂住院4天,出现了以短暂性高胆红素血症为特征的推测性延迟输血反应。在6个月的复查时,这只雪貂临床状况良好。
这是首次报道在雪貂中成功进行猫pRBCs异种输血的病例。虽然不建议将雪貂与猫血液制品的异种输血作为常规操作,但在无法获得雪貂血液的危急情况下,它仍然是一个可行的选择。