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首页> 美国卫生研究院文献>Frontiers in Veterinary Science >Prolonged Recovery From General Anesthesia Possibly Related to Persistent Hypoxemia in a Draft Horse
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Prolonged Recovery From General Anesthesia Possibly Related to Persistent Hypoxemia in a Draft Horse

机译：可能与一匹骏马的持续性低氧血症相关的全麻长时间恢复

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摘要

Horses are susceptible to developing large areas of pulmonary atelectasis during recumbency and anesthesia. The subsequent pulmonary shunt is responsible for significant impairment of oxygenation. Since ventilation perfusion mismatch persists into the post-operative period, hypoxemia remains an important concern in the recovery stall. This case report describes the diagnosis and supportive therapy of persistent hypoxemia in a 914 kg draft horse after isoflurane anesthesia. It highlights how challenging it can be to deal with hypoxemia after disconnection from the anesthesia machine and how life-threatening it can become if refractory to treatment. Furthermore, it stresses the point on the interactions between hypoxemia and other factors, such as residual drug effects and hypothermia, that should also be considered in the case of delayed recovery from general anesthesia.
机译：在卧床和麻醉过程中，马很容易出现大面积的肺不张。随后的肺分流导致明显的氧合损伤。由于通气灌注失配一直持续到术后，因此低氧血症仍然是恢复停滞期的重要问题。该病例报告描述了异氟烷麻醉后一头914公斤草案马持续性低氧血症的诊断和支持治疗。它强调了与麻醉机断开连接后应对低氧血症的挑战性，以及如果难治性治疗可能危及生命。此外，它强调了低氧血症与其他因素（例如残留药物作用和体温过低）之间相互作用的意义，在从全身麻醉中延迟恢复的情况下也应考虑这一点。

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