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使用肺保护性正压通气和神经肌肉阻滞剂成功治疗疑似诱导型犬急性呼吸窘迫综合征。

Successful treatment of suspect -induced ARDS in a dog using lung-protective positive-pressure ventilation and neuromuscular blockade.

作者信息

DeStefano Ian M, Wayne Annie S, Cudney Sarah E, Rozanski Elizabeth A

机构信息

Department of Clinical Sciences Cummings School of Veterinary Medicine, Tufts University North Grafton Massachusetts USA.

Department of Emergency and Critical Care, Massachusetts Veterinary Referral Hospital Ethos Veterinary Health Woburn Massachusetts United States.

出版信息

Clin Case Rep. 2022 Aug 9;10(8):e6234. doi: 10.1002/ccr3.6234. eCollection 2022 Aug.

DOI:10.1002/ccr3.6234
PMID:35957771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9361806/
Abstract

A mixed breed dog was treated for severe hemolytic anemia secondary to infection. Within 14 hours of hospitalization, the dog developed respiratory distress and hypoxemia. The patient improved with lung-protective mechanical ventilation and neuromuscular blockade. The dog survived to discharge and was reportedly healthy at three-month follow-up.

摘要

一只混血犬因感染继发严重溶血性贫血而接受治疗。住院14小时内,该犬出现呼吸窘迫和低氧血症。患者通过肺保护性机械通气和神经肌肉阻滞治疗后病情改善。这只狗存活至出院,据报道在三个月的随访中健康状况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b88f/9361806/9c57cfc74e96/CCR3-10-e6234-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b88f/9361806/9c57cfc74e96/CCR3-10-e6234-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b88f/9361806/9c57cfc74e96/CCR3-10-e6234-g001.jpg

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本文引用的文献

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Acute Respiratory Distress Syndrome.急性呼吸窘迫综合征
N Engl J Med. 2017 Aug 10;377(6):562-572. doi: 10.1056/NEJMra1608077.
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Severe babesiosis presenting as acute respiratory distress syndrome in an immunocompetent patient.在一名免疫功能正常的患者中,严重巴贝斯虫病表现为急性呼吸窘迫综合征。
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Cerebral babesiosis and acute respiratory distress syndrome in a dog.犬脑型巴贝斯虫病与急性呼吸窘迫综合征
J Vet Emerg Crit Care (San Antonio). 2013 Nov-Dec;23(6):615-23. doi: 10.1111/vec.12114. Epub 2013 Nov 14.
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N Engl J Med. 2010 Sep 16;363(12):1107-16. doi: 10.1056/NEJMoa1005372.
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Acute lung injury following blood transfusion: expanding the definition.输血后急性肺损伤:扩展定义
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Efficacy and safety of corticosteroids for persistent acute respiratory distress syndrome.皮质类固醇对持续性急性呼吸窘迫综合征的疗效与安全性
N Engl J Med. 2006 Apr 20;354(16):1671-84. doi: 10.1056/NEJMoa051693.
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Canine babesiosis.犬巴贝斯虫病
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