最後更新:2026年10月1日
心肺復甦成功恢復自發性心跳及血壓。需後續密集監護以維持穩定及預防再次心搏停止。
Feline emergencies frequently include urethral obstruction (FIC/FLUTD in male cats), ATE, dyspnea (CHF, asthma, pleural effusion), and trauma (high-rise syndrome). Cats are adept at masking pain — subtle changes in behavior may indicate severe distress.
Common canine emergencies include GDV, urethral obstruction, anaphylaxis, heatstroke, and vehicular trauma. Triage using a modified Glasgow Coma Scale (for head trauma) or shock index guides initial stabilization. FAST ultrasound is rapid and non-invasive for detecting free fluid.
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。
ROSC 後立即:優化通氣(SpO2 94-98%,避免過度通氣),目標血壓 MAP >65 mmHg(輸液 + vasopressor),控制體溫(避免高熱),監測 EtCO2 與乳酸。
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]Prospective Evaluation of Cardiopulmonary Resuscitation Performed in Dogs and Cats According to the RECOVER Guidelines. Part 2: Patient Outcomes and CPR Practice Since Guideline Implementation.
[2]Prospective Evaluation of Cardiopulmonary Resuscitation Performed in Dogs and Cats According to the RECOVER Guidelines. Part 1: Prognostic Factors According to Utstein-Style Reporting.
[3]Clinical outcome of canine cardiopulmonary resuscitation following the RECOVER clinical guidelines at a Japanese nighttime animal hospital.
[4]The impact of the SARS-CoV-2 pandemic on in-hospital cardiac arrest: A systematic review and meta-analysis.
可在數分鐘至數小時內致死,需立即穩定生命徵象 (life-threatening, requires immediate stabilization)
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
ROSC不等於存活。24小時存活率<10%。腦損傷為主要死因。
自發性循環恢復 診斷流程
詳細問診包括發病經過、用藥史、飲食與環境
CBC、生化全套、尿液分析
來源:自動產生