1例猫限制型心肌病继发急性肾衰的病例报告  

A case report of acute renal failure secondary to feline restrictive cardiomyopathy

作　　者：胡静思 雷雪彬 张俭伟 Hu Jingsi;Lei Xuebin;Zhang Jianwei(Boehringer Ingelheim Animal Health(Shanghai)Co.,Ltd.,Shanghai 200000;New Ruipeng Group Guangzhou Central Hospital,Guangdong Guangzhou 510000)

机构地区：[1]勃林格殷格翰动物保健(上海)有限公司,上海200000 [2]新瑞鹏集团广州中心医院,广东广州510000

出　　处：《现代畜牧兽医》2024年第10期45-51,共7页Modern Journal of Animal Husbandry and Veterinary Medicine

摘　　要：限制性心肌病(RCM)是一种以心肌僵硬、严重舒张功能障碍(限制性生理学变化)和总体预后不良为特征,表现为限制性充盈障碍的心肌疾病。心血管系统出现结构性或功能性损伤,可能会导致肾脏与心血管系统间的正常交互作用被破坏,最终导致肾脏功能的损伤或衰竭。同时,在使用利尿剂控制RCM引起的心衰时,可能引起脱水及肾素-血管紧张素-醛固酮系统(RAAS)激活而继发肾损伤。文章对一例英国短毛猫RCM的诊断、治疗及在治疗过程中的变化进行描述探讨,为猫RCM的诊断与治疗提供参考。Restrictive cardiomyopathy(RCM)is a myocardial disease characterized by myocardial stiffness,severe diastolic dysfunction(restrictive physiological changes),and poor overall prognosis,and is characterized by restrictive filling disorders.Structural or functional damage to the cardiovascular system may lead to disruption of the normal interaction between the kidney and the cardiovascular system,ultimately leading to impairment or failure of kidney function.At the same time,the use of diuretics to control RCM induced heart failure may cause dehydration and activation of the renin-angiotensin-aldosterone system(RAAS)and secondary kidney injury.This article describes and discusses the diagnosis,treatment and changes of RCM in a British shorthair cat,and provides reference for the diagnosis and treatment of feline RCM.

关 键 词：猫 限制性心肌病 急性肾衰 血栓 心衰 

分 类 号：S858.293[农业科学—临床兽医学]