2024年6月16日 (日) 15:11的版本

病例描述

An adult mixed-breed dog was presented for 1-day history of anorexia and cough. Thoracic radiographs revealed moderate generalized cardiomegaly with globoid-shaped cardiac silhouette and mild bilateral pleural effusion.

一只成年混种犬因厌食和咳嗽 1 天病史而就诊。胸片显示中度全身性心脏扩大，伴有球状心脏轮廓和轻度双侧胸腔积液。

Echocardiography showed mild tamponating pericardial effusion and diffuse severe thickened pericardium.

超声心动图显示轻度心包积液和弥漫性重度心包增厚。

Compete blood count and blood chemistry at presentation were not specific.

就诊时的竞争性血细胞计数和血化成分不具有特异性。

A coagulation profile was completed and showed severe prolongation of prothrombin time and partial thromboplastin time.

完成凝血功能检查，显示凝血酶原时间和部分凝血活酶时间严重延长。

Intravenous therapy with vitamin K was started at 5mg/kg BID and on follow-up echocardiography performed 12 hours later there was evidence of complete regression of the pericardial thickening and pericardial effusion.

以 5mg/kg BID 开始静脉注射维生素 K 治疗，12 小时后进行随访超声心动图检查，有证据表明心包增厚和心包积液完全消退。

To the authors' knowledge, this is the first case report describing severe pericardial thickening, constrictive pericarditis, and cardiac tamponade secondary to spontaneous anticoagulant-induced hemopericardium in dogs. 据作者所知，这是第一份描述严重心包增厚、缩窄的病例报告狗自发性抗凝血诱发的心包炎和心包填塞。