Department of Comparative, Diagnostic and Population Medicine, College of Veterinary Medicine, University of Florida, 2015 SW 16 Avenue, Gainesville, FL, 32608, USA.
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 SW 16 Avenue, Gainesville, FL, 32608, USA.
J Small Anim Pract. 2021 Sep;62(9):750-755. doi: 10.1111/jsap.13349. Epub 2021 May 13.
To investigate and characterise the incidence of iatrogenic complications secondary to closed chest cardiopulmonary resuscitation in dogs.
Necropsy reports and histologic sections of tissues were retrospectively examined from 180 dogs that had received closed chest cardiopulmonary resuscitation to determine lesions associated with resuscitation.
The most common complication was pulmonary haemorrhage (81/163, 49.7%, 95% confidence interval: 42.1 to 57.3), although only nine dogs had pulmonary haemorrhage of at least moderate severity. Liver fractures occurred in 16 of 180 cases (8.9%, 95% confidence interval: 5.5 to 14.0). Blood loss of >15% of blood volume into the abdomen and/or thorax occurred in 13 of 180 cases (7.2%, 95% confidence interval: 4.2 to 12.1).
Significant haemorrhage secondary to cardiopulmonary resuscitation may decrease the chances of achieving the return of spontaneous circulation or may cause or compound ischemic damage to critical organs if the return of spontaneous circulation is achieved. Following successful cardiopulmonary resuscitation, animals should be screened for cavitary or pulmonary haemorrhage, as significant haemorrhage could be a factor in recurrence of cardiac arrest.
调查和描述因闭式胸外心肺复苏术而导致的犬类医源性并发症的发生情况和特征。
对 180 只接受过闭式胸外心肺复苏术的犬只的尸检报告和组织的组织学切片进行回顾性检查，以确定与复苏相关的病变。
最常见的并发症是肺出血（163 例中的 81 例，49.7%，95%置信区间：42.1%至 57.3%），尽管只有 9 只犬的肺出血程度为中度或以上。180 例中有 16 例（8.9%，95%置信区间：5.5%至 14.0%）出现肝破裂。180 例中有 13 例（7.2%，95%置信区间：4.2%至 12.1%）出现腹腔和/或胸腔内出血量超过 15%血容量。
心肺复苏后出现明显的出血可能会降低自发循环恢复的机会，或者如果自发循环恢复，可能会导致或加重关键器官的缺血损伤。心肺复苏成功后，应筛查犬只是否存在胸腔或肺出血，因为大量出血可能是心脏骤停复发的一个因素。
