Case Report: Treatment of an Elderly Dog with Concurrent Heart Disease and Acute Uremia by Hemodialysis
Other Title
病例報告：老年心臟病患犬急性尿毒症之血液透析處置
Journal
Taiwan Veterinary Journal
Journal Volume
39
Journal Issue
3
Start Page
150
End Page
157
Date Issued
2013
Author(s)
Chan, Kun-Wei
Ping, Tsung-Ying
Chou, Shih-Jen
Zheng, Zhi-Jia
Lai, Jyh-mirn
Lo, Dan-Yuan
Wu, Jui-Te
Abstract
A 15-year-old mixed-breed dog that was presented with anorexia and lethargy for four months was diagnosed with chronic kidney disease (CKD) and cardiac disease. The patient was presented clinically in poor physical condition showing stupor and acute vomiting. Complete blood count (CBC) and serum biochemical analysis showed severe anemia and blood urea nitrogen (BUN, 145 mg/dL), creatinine (3.9 mg/dL) and phosphorus (17.2 mmol/L) were also elevated. Hemodialysis was performed after fluid therapy did not improve the condition of the patient. Hemodialysis successfully treated the acute-phase CKD and improved the kidney compensation function.
本病例為一15歲雌性混種犬，有厭食、精神不濟的病史。經診斷後發現患犬患有慢性腎病與心臟疾病。臨床上患犬體態極度消瘦，並出現嘔吐、運動不耐與半昏迷等症狀。配合全血球計數與血清生化學檢查發現，患犬貧血情形嚴重且有急性尿毒症的情況，血中尿素氮（145 mg/dL）、肌酸酐（3.9 mg/dL）與血中磷離子濃度（17.2 mmol/L）有明顯的升高。經輸液治療無法有效改善嚴重氮血症的情形後，遂以血液透析作進一步的處置。血液透析治療後，持續以輸液作為支持性治療，經3個月檢測與觀察結果顯示，血液透析成功改善了慢性腎病的急性期，使其呈現一穩定的狀態，並成功改善患犬腎臟代償的能力。
Subjects
elderly dog
chronic kidney disease
cardiac disease
hemodialysis
老年犬
慢性腎病
心臟病
血液透析
SDGs
Type
journal article