最後更新:2026年10月1日
嚴重高血糖(>600 mg/dL)伴脫水及電解質異常。包括DKA及HHS,需積極治療。
Feline urethral obstruction (FUO) in male cats is a life-threatening emergency causing hyperkalemia and post-renal azotemia. IV fluid resuscitation, electrocardiographic monitoring, and urethral catheterization are priorities. Saddle thrombus (ATE) requires analgesia (buprenorphine, fentanyl CRI) and anticoagulation.
Canine hemoabdomen requires immediate assessment: packed cell volume trend, FAST scan, and coagulation panel. Splenic hemangiosarcoma is the most common cause of spontaneous hemoperitoneum. Anaphylaxis in dogs presents primarily as GI (hepatic venous congestion) rather than respiratory signs.
這頁有幾個欄位是同系統共用的模板,還沒針對本疾病單獨改寫過。請以臨床判斷為準,記得對照下方文獻。
生理食鹽水 bolus 矯正脫水,Regular insulin 0.1-0.2 U/kg/hr CRI,每小時監測血糖。補充鉀(K < 3.5 mEq/L 前不給 insulin)。
建議:Shock dose crystalloid 20-30 mL/kg IV bolus(犬),10-15 mL/kg(貓),評估反應後調整
速率:20-30 mL/kg
監測頻率:q2-4h
[1]Risks of Developing Diabetes and Hyperglycemic Crisis Following Carbon Monoxide Poisoning: A Study Incorporating Epidemiologic Analysis and Animal Experiment.
病情可能在 24-48 小時內惡化,需盡快評估與處置 (may deteriorate within 24-48h, prompt evaluation needed)
飼主衛教
用藥指引
⚠ 警訊症狀(立即回診)
環境調整
長期計畫:依根本病因制定長期計畫
限制活動
穩定後漸進恢復活動
期間:依病因
HHS死亡率較DKA高。及時治療可改善。
高血糖症 診斷流程
詢問多喝多尿多食症狀及體重變化
血糖測量及尿液試紙檢查
果糖胺及糖化血色素測量
全面生化及影像評估併發症
來源:專家審閱