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NEW AND OLD DRUGS FOR CANINE STATUS EPILEPTICUS

机译:犬类状态癫痫患者的新药

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摘要

Most seizures in dogs are self-limiting and last a couple 01 minutes or less. Seizures that last more than a lew minutes or occur back-to-back without recovery in-between are emergency situations and should be treated promptly, aggressively, and witha systematic plan.1 When 30-60 minutes of continuous seizure activity occurs, irreversible neuronal damage begins, mainly due to excito-toxic cell injury related to excessive glutamate release.2 This can lead to loss of normal brain homeostasis, kindling, functional and structural hippocampal changes, neuro-degeneration and altered distribution of ion channels and neurotransmitter receptors on a cellular level.3 Systemically, status epilepticus (SE) can result in hyperglycemia, hypertension,4 neuronal necrosis, hyperthermia, cardiac arrhythmias, kidney damage, metabolic acidosis, disseminated intravascular coagulation, cardiorespiratory failure, and a predisposition to further seizure episodes.5 Consequently, aggressive and safe early intervention is important. This review will cover old drugs and also drugs *new* or "potentially new*" for canine SE.
机译:大多数狗的癫痫发作都是自我限制的,持续时间01分钟或更短。缉获持续超过一个小小的分钟或在没有恢复之间发生的回归是紧急情况,应该迅速地,积极地处理,并在系统的计划中迅速处理,当发生30-60分钟的连续癫痫发作活动时,不可逆的神经元损伤开始,主要是由于激发毒性细胞损伤与过量的谷氨酸释放有关.2这可能导致正常的脑稳态,点燃,功能性和结构海马变化,神经变性和离子通道的改变分布和神经递质受体的变化细胞含量为3全身性,状态癫痫症(SE)可导致高血糖,高血压,4个神经元坏死,热疗,心律失常,肾脏损伤,代谢酸中毒,传播血管内凝血,心肺衰竭和进一步癫痫发作的易感性.5 ,积极和安全的早期干预很重要。本综述将涵盖古老药物,也将涉及犬歌的药物*或“潜在的新*”。

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