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一只罗威纳犬在全身麻醉期间发生不明原因急性高钾血症的病例。

A Case of Acute Hyperkalaemia of Unknown Origin During General Anaesthesia in a Rottweiler.

作者信息

Elzahaby Dany, Levionnois Olivier Louis, Tosi Francesca, Morath-Huss Ute

机构信息

Vetsuisse Faculty, Department of Clinical Veterinary Medicine, Section of Anaesthesiology and Pain Therapy, University of Bern, 3012 Bern, Switzerland.

出版信息

Animals (Basel). 2025 Jun 11;15(12):1730. doi: 10.3390/ani15121730.

Abstract

A 4-year-old neutered female rottweiler underwent three separate anaesthetic events for the diagnosis and treatment of cranial cruciate ligament rupture. The patient was otherwise healthy, with consistently normal pre-anaesthetic electrolyte values. However, during the second anaesthetic procedure, the patient developed severe hyperkalaemia with life-threatening cardiovascular compromise. Prompt treatment led to rapid normalisation of plasma potassium levels and resolution of cardiac abnormalities. This case highlights the need for further research to elucidate the mechanisms underlying this rare but serious complication. Clinicians should remain vigilant, as intra-anaesthetic hyperkalaemia, though uncommon, can be fatal. While the condition has been historically associated with greyhounds, recently reported cases in rottweilers may warrant similar concern.

摘要

一只4岁已绝育的雌性罗威纳犬因诊断和治疗颅交叉韧带断裂接受了三次单独的麻醉。该患者在其他方面健康,麻醉前电解质值一直正常。然而,在第二次麻醉过程中,患者出现了严重的高钾血症,并伴有危及生命的心血管功能障碍。及时治疗使血浆钾水平迅速恢复正常,心脏异常得到缓解。该病例凸显了进一步研究以阐明这种罕见但严重并发症背后机制的必要性。临床医生应保持警惕,因为麻醉期间的高钾血症虽然不常见,但可能是致命的。虽然这种情况在历史上与灵缇犬有关,但最近报道的罗威纳犬病例可能也值得类似关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2cc/12189807/c7ab35f73c09/animals-15-01730-g001.jpg

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