한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제26권2호
  • /
  • Pages.166-169
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  • 2009
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

딜티아젬 중독증 이환견에서 경피용 체외심박조절기의 적용 증례

Transcutaneous Cardiac Pacing in a Dog with Diltiazem Intoxication

  • 이승근 (고려동물병원) ;
  • 현창백 (강원대학교 수의학부(대학) 수의학과 소동물 내과교실)
  • Lee, Seung-Keun (Korea Animal Hospital) ;
  • Hyun, Chang-Baig (Section of Small Animal Internal Medicine, School of Veterinary Medicine, Kangwon National University)
  • 발행 : 2009.04.30
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초록

11년령의 수컷 비글(10.5 kg)이 사고로 과량의 딜티아젬을 섭취한 후 급작스러운 서맥과 심한 저혈압으로 내원하였다. 환자는 경피용 체외 심박조절기의 적용하에서 등장성 crystalloid 용액, 아트로핀, calcium gluconate, 도부타민, 글루카곤, 위세척의 처치를 받았다. 단기간의 경피용 체외심박조절기의 사용과 약물적 치료요법으로 환자의 심장 리듬과 상태는 안정화 되었다.

An 11-year-old male Beagle, weighing 10.5 kg, was presented with sudden bradyarrhthmia and severe hypotension after incidental ingestion of diltiazem. The dog was treated with intravenous(IV) isotonic crystalloid solution, atropine, calcium gluconate, dobutamine, glucagon and gastric lavage under the aid of temporary transcutaneous cardiac pacing. With the short-term use of transcutaneous cardiac pacing and medical treatment, the heart rhythm and the condition of the patient were stabilized.

키워드

참고문헌

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