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病例报告:犬冻干血小板异种输血用于一只术后腹部出血猫科动物患者的止血。

Case report: Xenotransfusion of canine lyophilized platelets for hemostasis in a feline patient with post-operative abdominal hemorrhage.

作者信息

Mannucci Elizabeth, Blong April, Zorn Chelsea, Walton Rebecca

机构信息

Emergency and Critical Care Department, VCA West Los Angeles Animal Hospital, Los Angeles, CA, United States.

Department of Clinical Sciences, Iowa State University, Ames, IA, United States.

出版信息

Front Vet Sci. 2023 Feb 7;10:1113846. doi: 10.3389/fvets.2023.1113846. eCollection 2023.

DOI:10.3389/fvets.2023.1113846
PMID:36825233
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9942615/
Abstract

OBJECTIVE

To describe the management of post-operative abdominal hemorrhage with a xenotransfusion of canine lyophilized platelets in a feline patient.

CASE SUMMARY

A 9-year-old male castrated domestic shorthair presented for a spontaneous hemoabdomen secondary to hepatic amyloidosis. Clinically significant hemorrhage occurred in the perioperative and post-operative period and the patient received a massive transfusion and anti-fibrinolytic therapy in combination with a xenotransfusion of canine lyophilized platelets at 0.9 × 10 particles/kg and recombinant human factor VIIa (rhFVIIa). The combination of these interventions decreased transfusion requirements in this patient and the xenotransfusion was well tolerated with no acute or immediate transfusion reactions noted.

NEW OR UNIQUE INFORMATION PROVIDED

This case report describes the xenotransfusion of canine lyophilized platelets in a feline patient with severe, non-compressible abdominal hemorrhage.

摘要

目的

描述在一只猫科动物患者中使用犬冻干血小板进行异种输血治疗术后腹腔出血的情况。

病例摘要

一只9岁去势家养短毛雄性猫因肝淀粉样变性继发自发性腹腔积血前来就诊。围手术期和术后发生了具有临床意义的出血,该患者接受了大量输血和抗纤溶治疗,并以0.9×10颗粒/千克的剂量进行了犬冻干血小板的异种输血以及重组人凝血因子VIIa(rhFVIIa)治疗。这些干预措施的联合应用减少了该患者的输血需求,且异种输血耐受性良好,未观察到急性或即刻输血反应。

提供的新的或独特信息

本病例报告描述了在一只患有严重、难以压迫止血的腹腔出血的猫科动物患者中进行犬冻干血小板异种输血的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6af/9942615/a72531696a96/fvets-10-1113846-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6af/9942615/a72531696a96/fvets-10-1113846-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d6af/9942615/a72531696a96/fvets-10-1113846-g0001.jpg

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本文引用的文献

1
2021 ISFM Consensus Guidelines on the Collection and Administration of Blood and Blood Products in Cats.2021 年 ISFM 猫科动物血液和血液制品采集与管理共识指南
J Feline Med Surg. 2021 May;23(5):410-432. doi: 10.1177/1098612X211007071.
2
Association of Veterinary Hematology and Transfusion Medicine (AVHTM) Transfusion Reaction Small Animal Consensus Statement (TRACS) Part 2: Prevention and monitoring.兽医血液学和输血医学协会(AVHTM)输血反应小动物共识声明(TRACS)第 2 部分:预防和监测。
J Vet Emerg Crit Care (San Antonio). 2021 Mar;31(2):167-188. doi: 10.1111/vec.13045. Epub 2021 Mar 10.
3
Lyophilized platelets versus cryopreserved platelets for management of bleeding in thrombocytopenic dogs: A multicenter randomized clinical trial.
冻干血小板与冷冻保存血小板用于治疗血小板减少症犬出血的多中心随机临床试验
J Vet Intern Med. 2020 Nov;34(6):2384-2397. doi: 10.1111/jvim.15922. Epub 2020 Oct 5.
4
Is xenotransfusion of canine blood to cats really a bad practice?将犬血输给猫真的是一种不好的做法吗?
J Small Anim Pract. 2020 Mar;61(3):147. doi: 10.1111/jsap.13115.
5
Xenotransfusion of canine blood to cats: a review of 49 cases and their outcome.犬血对猫的异种输血:49例病例及其结果的综述
J Small Anim Pract. 2020 Mar;61(3):156-162. doi: 10.1111/jsap.13096. Epub 2019 Dec 22.
6
Use of fresh platelet concentrate or lyophilized platelets in thrombocytopenic dogs with clinical signs of hemorrhage: a preliminary trial in 37 dogs.对有出血临床症状的血小板减少症犬使用新鲜血小板浓缩液或冻干血小板:37只犬的初步试验
J Vet Emerg Crit Care (San Antonio). 2012 Feb;22(1):116-25. doi: 10.1111/j.1476-4431.2011.00710.x.
7
Platelet transfusions: treatment options for hemorrhage secondary to thrombocytopenia.血小板输注:血小板减少继发出血的治疗选择
J Vet Emerg Crit Care (San Antonio). 2012 Feb;22(1):73-80. doi: 10.1111/j.1476-4431.2011.00706.x.
8
Xenotransfusion with canine blood in the feline species: review of the literature.猫科动物异种输注犬血:文献综述
J Feline Med Surg. 2013 Feb;15(2):62-7. doi: 10.1177/1098612X12460530. Epub 2012 Sep 14.
9
Increased plasma and platelet to red blood cell ratios improves outcome in 466 massively transfused civilian trauma patients.血浆与血小板与红细胞比值升高可改善466例大量输血的 civilian 创伤患者的预后。 (注:这里“civilian”结合语境推测可能是“平民”,但从医学专业角度看这个词在这个语境不是非常准确的医学术语表述,可能原文有误或有特定背景含义)
Ann Surg. 2008 Sep;248(3):447-58. doi: 10.1097/SLA.0b013e318185a9ad.
10
Canine platelet alloimmunization: the role of donor selection.犬血小板同种免疫:供体选择的作用。
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