Mooney E T, Agostini G, Griebsch C, Hickey M
Sydney School of Veterinary Science, University of Sydney, New South Wales, Australia.
U-Vet Animal Hospital Werribee, Faculty of Veterinary and Agricultural Sciences, University of Melbourne, Victoria, Australia.
Aust Vet J. 2020 Jun;98(6):225-231. doi: 10.1111/avj.12931. Epub 2020 Mar 18.
Four dogs with anticoagulant rodenticide toxicosis were treated with intravenous vitamin K in lieu of plasma transfusion due to client cost constraints. Two dogs experienced a suspected anaphylactoid reaction, necessitating cessation of the treatment in one dog. Prothrombin time was rechecked 1 h after treatment in the remaining three dogs and all results were within the normal reference range. All four dogs were discharged from hospital within 48 h of presentation. Intravenous vitamin K rapidly reverses the coagulopathic state in dogs with anticoagulant rodenticide toxicosis. It is a viable alternative therapy to plasma transfusion if circumstances preclude its use; however, patients must be monitored for anaphylactoid reactions.
由于客户成本限制,四只患有抗凝血灭鼠剂中毒的狗接受了静脉注射维生素K治疗,而非血浆输血。两只狗出现疑似类过敏反应,其中一只狗需要停止治疗。其余三只狗在治疗后1小时复查凝血酶原时间,所有结果均在正常参考范围内。所有四只狗在就诊后48小时内出院。静脉注射维生素K可迅速逆转患有抗凝血灭鼠剂中毒的狗的凝血障碍状态。如果情况不允许使用血浆输血,它是一种可行的替代疗法;然而,必须监测患者是否出现类过敏反应。