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一只小猫因洗衣机导致的创伤和凝血病

Washing machine-induced trauma and coagulopathy in a kitten.

作者信息

Lee Erin L, Bailin H Grady

机构信息

Cape Cod Veterinary Specialists, 11 Bourne Bridge Approach, Buzzards Bay, Massachusetts 02532, USA.

出版信息

Can Vet J. 2024 Dec;65(12):1222-1227.

Abstract

A 4-month-old intact male Siamese cat was presented immediately after being found in a washing machine following 30 min of a cold-water wash cycle. The kitten demonstrated clinical signs of shock, respiratory distress, hypothermia, coagulopathy, traumatic brain injury, and ocular injury. Resuscitation and treatment involving IV fluid therapy, hyperosmotic agents, oxygen supplementation, antifibrinolytics, a plasma transfusion, antioxidant medications, broad-spectrum antibiotics, analgesics, topical ophthalmic medications, and intensive nursing care were required. The kitten was discharged 5 d after hospitalization and was reported to be neurologically normal at 11 mo after the incident. This case highlights the many clinical syndromes that may manifest with washing-machine entrapment, as well as the potential for a positive outcome. Key clinical message: Clinical descriptions of cats undergoing or surviving washing-machine entrapment and their resulting injuries are rare, as are reports of traumatic coagulopathies. This report describes clinical conditions of traumatic brain injury, suspected traumatic coagulopathy, and other injuries in a kitten after accidental entrapment within a washing machine. To the authors' knowledge, this is the first report of a cat surviving an extended washing-machine cycle with development of coagulopathy.

摘要

一只4个月大的未绝育雄性暹罗猫在经历了30分钟的冷水洗涤循环后被发现卡在洗衣机里,随后被立即送来就诊。这只小猫表现出休克、呼吸窘迫、体温过低、凝血功能障碍、创伤性脑损伤和眼部损伤的临床症状。需要进行复苏和治疗,包括静脉输液治疗、高渗药物、补充氧气、抗纤溶药物、血浆输注、抗氧化药物、广谱抗生素、镇痛药、局部眼科用药以及重症护理。这只小猫在住院5天后出院,据报告在事件发生11个月后神经功能正常。该病例突出了洗衣机被困可能出现的多种临床综合征,以及取得良好预后的可能性。关键临床信息:关于猫经历洗衣机被困或从中存活及其所受损伤的临床描述很少见,创伤性凝血功能障碍的报告也很少。本报告描述了一只小猫意外被困在洗衣机后出现的创伤性脑损伤、疑似创伤性凝血功能障碍及其他损伤的临床情况。据作者所知,这是第一例猫在经历长时间洗衣机循环且出现凝血功能障碍后存活的报告。

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