Nash Katherine J, Yeo Amanda, Munce Katherine
School of Veterinary Science, The University of Queensland, Gatton, QLD, Australia.
JFMS Open Rep. 2023 May 25;9(1):20551169231172439. doi: 10.1177/20551169231172439. eCollection 2023 Jan-Jun.
A 6-month-old female entire domestic shorthair cat was presented with a 4-day history of progressive swelling over the dorsal cranium. Subsequent diagnostics revealed a large haematoma, a secondary haemostatic defect and a moderate anaemia. The owner disclosed access to multiple brodifacoum bait stations. The anaemia and haematoma progressed despite treatment with fresh frozen plasma and phytonadione and the cat developed signs of haemorrhagic shock. Allogenic transfusion was declined due to cost and 18 ml of blood was aspirated from the haematoma and transfused. The cat stabilised quickly and was discharged the next day with oral phytonadione.
Autologous transfusion from the subcutaneous space has not been previously reported. It was well tolerated and life-saving in this case.
一只6个月大的雌性未绝育家养短毛猫因颅骨背侧进行性肿胀4天前来就诊。后续诊断发现有一个大血肿、继发性止血缺陷和中度贫血。主人透露该猫接触过多个溴敌隆毒饵站。尽管使用了新鲜冷冻血浆和维生素K1进行治疗，但贫血和血肿仍在进展，该猫出现了失血性休克的症状。由于费用问题，异体输血被拒绝，于是从血肿中抽出18毫升血液进行了自体输血。该猫很快稳定下来，第二天口服维生素K1后出院。
此前尚未有从皮下空间进行自体输血的报道。在本病例中，这种方法耐受性良好且挽救了生命。
