• 한국임상수의학회지
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• 제34권6호
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• pp.478-480
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• 2017

A Cocker spaniel (7-year-old, female) was presented with one week of anorexia, halitosis, oral ulcer, intermittent vomiting, acute weight loss and 3-day history of oliguria. The patient was diagnosed with acute on chronic kidney disease and pancreatitis. Hemodialysis was continued three times a week (total 7 sessions) with improved clinical signs and kidney panel, but presented with another episode of abdominal distention, respiratory distress, and large bowel diarrhea. Echocardiography revealed nearly totally occlusive thrombus in the cranial vena cava, as well as a right atrial mass of approximately $2cm{\times}1cm$. The patient was treated with catheter removal, thrombolysis and anticoagulation therapy with recombinant tissue plasminogen activator. During anticoagulation therapy, size of atrial thrombus was not changed and heart function was not improved after treatment. Since clinical signs were deteriorated, the patient was euthanized by owner's request. Catheter-related giant thrombus in right atrium is a rare complication and treatment guideline for atrial thrombus does not exist. This case is first report of hemodialysis catheter-induced thrombus in Korea.

• 한국임상수의학회지
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• 제32권5호
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• pp.436-439
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• 2015

급성 또는 급성 악화 신장 손상으로 혈액투석을 위해 4마리의 개가 내원하였다. 모든 증례에는 난치성의 구토, 식욕 부진, 설사, 침울 등을 포함하는 요독증 증후군을 가지고 있었다. 기존의 일반적인 치료를 받았으나, 치료적 반응은 없었으며 심한 임상증상은 남아있었다. 4마리의 증례에서 간헐적 혈액투석(IHD)이 실시 되었다. 본 논문은 혈액투석을 실시한 4마리의 환자의 임상증상과 생화학적 특징을 Kt/V로 나타나는 투석 적절성에 대하여 기술하였다. 본 논문은 개에서의 혈액투석 치료의 표준화의 설정에 도움이 되기 위하여 실제 증례에서 투석 적절성을 평가하였다.