Pericardial Effusion
Juga dikenali sebagai: Pericardial fluid accumulation, Hemorrhagic pericardial effusion
Ringkasnya
Pericardial effusion is a life-threatening veterinary emergency where fluid builds up in the sac surrounding the heart. This pressure prevents the heart from filling with blood, leading to weakness, breathing difficulties, and potential collapse. Immediate veterinary intervention is critical to drain the fluid and restore normal heart function.
TL;DR. Cecair di sekeliling jantung menghalang pengisian; kecemasan jika tamponade.
Ekokardiografi ialah standard emas.
Apakah ia?
Pengumpulan cecair dalam kantung perikardium yang menekan jantung (tamponade) dan mengurangkan output jantung.
"Cardiac tamponade develops when pericardial fluid accumulation raises intrapericardial pressure to or above the normal diastolic pressure of the right side of the heart, preventing normal filling."
Punca dan faktor risiko
Neoplasia (hemangiosarkoma, kemodektoma) dan idiopatik hemoragik; baka besar: golden, labrador, Saint Bernard, German Shepherd.
Tanda
- Bunyi jantung redam (kardinal)
- Sesak nafas, intolerans senaman, asites, mukosa pucat
- Rebah, nadi lemah
Asites mencerminkan kesesakan kanan.
Diagnosis
Ekokardiografi (emas); x-ray (jantung globoid); ECG (voltan rendah, alternans elektrik); analisis cecair.
Ultrasound menunjukkan cecair yang menekan jantung.
Rawatan
Perikardiosentesis segera. Jangan diuretik/vasodilator sebelum saliran. Steroid jika idiopatik; perikardiektomi jika berulang.
Prognosis
Idiopatik sering baik. Neoplastik: berhati-hati hingga buruk.
Pencegahan
Tiada khusus; semakan pada baka berisiko.
Bila hubungi doktor haiwan
Sesak nafas, rebah, mukosa pucat/biru, abdomen tegang: kecemasan tahap 5.
Sumber
- Small Animal Critical Care Medicine, p. 276
- Internal Medicine (5th Edition), p. 196, 200
My highlights & notes
Tanda & simptom
Baka berisiko lebih tinggi
Cara didiagnosis
- EchocardiographyStandard emas
- Central Venous Pressure (CVP) measurement
- Electrocardiography (ECG)
- Pericardial fluid analysis
- Plasma cardiac troponin I (cTnI) concentration
- Thoracic radiography
Pendekatan rawatan
Rawatan mesti dipreskripsikan doktor haiwan berlesen. Dos khusus sengaja tidak dipaparkan.
Soalan lazim
What is Pericardial Effusion?
Pericardial effusion is a life-threatening veterinary emergency where fluid builds up in the sac surrounding the heart. This pressure prevents the heart from filling with blood, leading to weakness, breathing difficulties, and potential collapse. Immediate veterinary intervention is critical to drain the fluid and restore normal heart function.
What are the symptoms of Pericardial Effusion?
Muffled heart sounds、Loss of appetite、Fluid in the belly (ascites)、Cough、Difficulty breathing (dyspnea)、Enlarged liver、Jugular distension、Lethargy
How is Pericardial Effusion diagnosed?
Echocardiography、Central Venous Pressure (CVP) measurement、Electrocardiography (ECG)、Pericardial fluid analysis、Plasma cardiac troponin I (cTnI) concentration、Thoracic radiography
How is Pericardial Effusion treated?
Rawatan mesti dipreskripsikan doktor haiwan berlesen. Dos khusus sengaja tidak dipaparkan.
Sumber
- Internal Medicine 5th · p. 200
- Current Techniques in Small Animal Surgery, 5th Edition (VetBooks.ir) · p. 685
- Internal Medicine 5th · p. 196
- Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 276
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