Weingand Nicole, He Chang, Grau-Roma Llorenç, Adamik Katja-Nicole
Division of Small Animal Emergency and Critical Care, Department of Clinical Veterinary Science, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
Institute of Animal Pathology, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
Front Vet Sci. 2024 Jun 17;11:1347083. doi: 10.3389/fvets.2024.1347083. eCollection 2024.
A 3-month-old kitten was presented after successful cardiopulmonary resuscitation, including a presumed intracardial injection by its primary care veterinarian. Throughout the subsequent hospitalization in the intensive care unit, the cat exhibited recurrent hemorrhagic pericardial effusions, along with concurrent pleural and abdominal effusions, resulting in multiple clinical deteriorations, necessitating pericardiocentesis and thoracocentesis. Despite more than 3 days of intensive care, the cat experienced another cardiopulmonary arrest with unsuccessful attempts to achieve the return of spontaneous circulation. Necropsy and histopathological findings revealed diffuse chronic-active pericarditis and hemorrhagic pericardial effusion, a condition that has not been documented in the context of cardiopulmonary resuscitation or pericardiocentesis.
一只3个月大的小猫在成功进行心肺复苏后被送来,其初级保健兽医推测进行了心内注射。在随后于重症监护病房住院期间,这只猫反复出现出血性心包积液,同时伴有胸腔和腹腔积液,导致多次临床病情恶化,需要进行心包穿刺术和胸腔穿刺术。尽管经过了3天多的重症监护,这只猫还是再次发生了心肺骤停,恢复自主循环的尝试未成功。尸检和组织病理学检查结果显示为弥漫性慢性活动性心包炎和出血性心包积液,这种情况在心肺复苏或心包穿刺术的背景下尚未有记录。