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一只因急性布洛芬中毒接受治疗的犬,在使用3%过氧化氢后疑似出现临床高铁血红蛋白血症。

Suspected clinical methemoglobinemia associated with administration of hydrogen peroxide 3% in a dog treated for acute ibuprofen ingestion.

作者信息

Dominguez Dominique, Walton Rebecca

机构信息

VCA West Los Angeles Animal Hospital, 1900 S. Sepulveda Boulevard, Los Angeles, California 90025, USA (Dominguez, Walton); Department of Veterinary Clinical Sciences, Iowa State University College of Veterinary Medicine, 1800 Christensen Drive, Ames, Iowa 50011, USA (Walton).

出版信息

Can Vet J. 2025 Jun;66(6):617-621.

PMID:40510286
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12152687/
Abstract

An 8-month-old intact male golden retriever dog was presented to the emergency department of a large private-practice specialty hospital. The dog had become cyanotic and collapsed following administration (orogastric tube) of 1.4 mL/kg of hydrogen peroxide 3% to induce emesis for ibuprofen ingestion. The dog had severe methemoglobinemia (33%; reference range: 0.3 to 1.5%) and developed anemia. The methemoglobinemia resolved after 24 h of hospitalization with supportive care. Results from assessment with high-performance liquid chromatography/tandem mass spectrometry were consistent with ibuprofen ingestion, with no acetaminophen detected. Key clinical message: This case demonstrated methemoglobinemia in a dog following both ibuprofen ingestion and hydrogen peroxide 3% administration.

摘要

一只8个月大未绝育的雄性金毛猎犬被送到一家大型私人执业专科医院的急诊科。该犬在经口胃管给予1.4 mL/kg的3%过氧化氢以诱导呕吐(因摄入布洛芬)后出现发绀并虚脱。该犬患有严重的高铁血红蛋白血症(33%;参考范围:0.3%至1.5%)并发生贫血。经24小时住院支持治疗后,高铁血红蛋白血症得到缓解。高效液相色谱/串联质谱评估结果与摄入布洛芬一致,未检测到对乙酰氨基酚。关键临床信息:该病例显示犬在摄入布洛芬和给予3%过氧化氢后出现高铁血红蛋白血症。

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本文引用的文献

1
Medical management of pneumoperitoneum, gastric pneumatosis, and hepatic venous gas secondary to 3% hydrogen peroxide toxicity in a dog.犬因3%过氧化氢中毒继发气腹、胃壁积气和肝静脉积气的药物治疗
J Vet Emerg Crit Care (San Antonio). 2024 Mar-Apr;34(2):179-185. doi: 10.1111/vec.13363. Epub 2024 Feb 26.
2
Carboxyhemoglobin as a diagnostic and prognostic biomarker of hemolytic anemias in dogs.犬溶血性贫血的诊断和预后生物标志物:碳氧血红蛋白。
J Vet Intern Med. 2023 Jan;37(1):110-116. doi: 10.1111/jvim.16617. Epub 2022 Dec 26.
3
Recommendations for diagnosis and treatment of methemoglobinemia.高铁血红蛋白血症的诊断和治疗建议。
Am J Hematol. 2021 Dec 1;96(12):1666-1678. doi: 10.1002/ajh.26340. Epub 2021 Sep 23.
4
Elevated methaemoglobin in a critically ill patient as a result of hydrogen peroxide exposure: A case study.过氧化氢暴露致危重症患者高铁血红蛋白血症:病例研究。
J Clin Pharm Ther. 2021 Oct;46(5):1473-1475. doi: 10.1111/jcpt.13396. Epub 2021 Feb 24.
5
Effects of oral 3% hydrogen peroxide used as an emetic on the gastroduodenal mucosa of healthy dogs.口服3%过氧化氢作为催吐剂对健康犬胃十二指肠黏膜的影响。
J Vet Emerg Crit Care (San Antonio). 2017 Mar;27(2):178-184. doi: 10.1111/vec.12558. Epub 2016 Dec 14.
6
Unexpected cyanosis in a haemodialysis patient-did someone add hydrogen peroxide to the dialysis water?一名血液透析患者出现意外发绀——有人在透析水中添加过氧化氢了吗?
NDT Plus. 2009 Apr;2(2):158-60. doi: 10.1093/ndtplus/sfn187. Epub 2008 Dec 4.
7
Effectiveness and adverse effects of the use of apomorphine and 3% hydrogen peroxide solution to induce emesis in dogs.使用阿扑吗啡和3%过氧化氢溶液诱导犬呕吐的有效性及不良反应。
J Am Vet Med Assoc. 2012 Nov 1;241(9):1179-84. doi: 10.2460/javma.241.9.1179.
8
Methemoglobinemia in critically ill patients during extended hemodialysis and simultaneous disinfection of the hospital water supply.危重症患者在长时间血液透析和同时对医院供水进行消毒期间发生正铁血红蛋白血症。
Crit Care. 2009;13(5):R162. doi: 10.1186/cc8128. Epub 2009 Oct 12.
9
Toxic methemoglobinemia due to Ibuprofen: report of a pediatric case.布洛芬所致中毒性高铁血红蛋白血症:1例儿科病例报告
J Emerg Med. 2010 Aug;39(2):216-7. doi: 10.1016/j.jemermed.2008.08.026. Epub 2009 Jan 25.
10
Hemorrhagic gastritis and gas emboli after ingesting 3% hydrogen peroxide.摄入3%过氧化氢后出现出血性胃炎和气栓
J Emerg Med. 2006 May;30(4):403-6. doi: 10.1016/j.jemermed.2005.05.036.