Electrical Shock Race Foster, DVM Marty Smith, DVM Drs. Foster & Smith, Inc. Puppies, by nature, like to chew on objects. Unfortunately, many households have a number of electrical cords which may be readily accessible to chewing pets. If a puppy chews a cord that is connected to an electrical socket, the puppy may receive a severe electrical shock. What are the symptoms? If a puppy chews through the rubber coating of an electrical cord, it will receive a severe shock as its teeth come in contact with the inner wires. The dog will cry out when it becomes 'shocked.' Additionally, the mouth may have received a severe burn, especially the roof and tongue areas. Following the burn, the affected areas will become red and irritated. This may take several days as the burned tissue dies and is sloughed off. In more severe instances the electrical current may travel into the dog's body and cause damage to the lungs as well. The damaged lungs generally fill with fluid (edema) within several days following the electrical shock. Puppies with damaged lungs from an electrical shock will have a difficult time breathing and may die if left untreated. What are the risks? Electrical shocks are always unpleasant and potentially life threatening. Any puppy receiving a shock should be monitored closely for several days for signs of burning and/or lung damage. What is the management? Prevention is the best. If possible, do not leave cords exposed. Encase cords in plastic tubing (PVC pipe) when possible. There are 'pet proof' cords available which will protect the puppy from shock if the puppy does chew the cord. Additionally, bitter substances such as Chew Stop and Bitter Apple can be sprayed on cords to discourage chewing. Unplug all accessible cords if the puppy is left unsupervised (we recommend puppies be confined in a crate if they are not under direct supervision). Summary Puppies that have received a shock must be monitored closely. Various medications are available to veterinarians to help manage lung and burn damage if present. In all cases of suspected electrical shock, consult your veterinarian. Proper management will be determined by the extent or severity of the shock. The authors would like to mention that children are also at risk of electrical shock from chewing electrical cords. Reference: http://www.peteducation.com/article.cfm?cls=2&cat=1677&articleid=275 另一篇 临床症状: a) 急性的呼吸困难伴有湿性罗音。 b) 肌肉僵直。 c) 失去意识。 d) 局部的组织坏死(尤其在口腔部位)。 e) 可能发生心律不整。 f) 可能有蛋白尿。 治疗: 1.治疗休克，如果呼吸心跳停止，则开始CPR。 2.给予100%氧气。 3.改善肺水肿。 4.给予抗生素。 监测: 1.胸腔放射线检察。 2.监测心电图。 所以最好还是带去兽医院。 至於CPR的方法，我之前有po过，不过我还是把它放在下面。 黄色部分表示可能碍於器材或是技术层面的限制。 原则上还是立即送往兽医院为主，在过程中，饲主可自行斟酌给予动物救助。 A 畅通呼吸道: 1.伸长颈部，拉出舌头。 2.清除分泌物或是呕吐物。 3.气管插管。 4.无气管插管时: a)其他方法: (1)面罩。 (2)手圈住口鼻，封住嘴部，由鼻孔吹气入肺。 b)注意事项:避免快速高压送入气体，以防止胃部鼓胀，导致呕吐。 5.异物阻塞上呼吸道: a)排除法:由腹部猛烈向前推挤横膈4~6下。 b)2~3min无法移除时: (1)施行气管切开术。 (2)16~18G套管针针头经皮刺入软骨环间，提供高流量氧气。 B 回复呼吸: 1.若仍无呼吸，则先给两口长1~1.5秒的空气以刺激呼吸。 2.人工呼吸: a)速率:每分钟25~35次。 b)长度:吸气呼气各半。 c)潮气容量:10~15ml/KG。 3.氧气来源包括: a)纯氧:是最好的选择。 b)空气:氧仅占21%。 c)人嘴吹出气体中氧占:16%。 4.针刺:人中与山根穴可刺激呼吸。 C 建立循环: 1.胸外按摩术: a)体位与按摩处: (1) 小於7kg采侧躺，按摩第3~6肋骨间，胸腔下1/3处。 (2) 大於7kg采背侧躺，按摩胸骨後1/3处。 b)按摩速率:每分钟80~120下(与人工呼吸速率配合约3:1)。 c)按摩方式:采快而短的按摩，使胸腔直径缩小25~30%。 d)增加回心血流的方法: (1)间断性按压腹部:与按摩心脏交替进行。 (2)加压包裹後肢及下腹部。 (3)提高後肢(但能以方便CPR操作为主)。 2.胸内按摩术: a)适用时机: (1)胸外按摩椅进行2~20min，仍无心跳时。 (2)超过20kg的狗可考虑直接采用。 (3)存在会令胸外按摩成效不彰的情况: (a)气胸。 (b)血胸。 (c)心包囊积液。 (d)横膈赫尼亚。 (e)过度肥胖。 (f)严重低血量造成之心跳停止。 b)切开部位:左侧第五肋间，心包囊的心尖部位及心包横膈韧带。 c)按摩速率:每分钟80~120下。 d)按摩方式: (1)双手或单手握住心脏，手指均匀放置在左右心室。 (2)指腹或手掌按摩。(不要以指尖按摩)。 (3)压力由心尖至心底施予。 (4)不可旋转心脏而阻碍血流。 e)增加脑部血流的方法:压迫下行主动脉。 3.有效之按摩:已能产生股动脉搏为目标，按摩之位置，力道，速率可自行调整。 兽医处置的部分，在此不熬述。 --

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