Lafond Elizabeth, Weirich Walter E, Salisbury S Kathleen
Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, Indiana 47907, USA.
J Am Anim Hosp Assoc. 2002 Jan-Feb;38(1):74-8. doi: 10.5326/0380074.
A 6-year-old, spayed female Himalayan cat with idiopathic chylothorax, which failed to respond to medical management, was successfully treated by advancement of the omentum into the thorax. Exploratory thoracotomy revealed severe, constrictive pleuritis as a sequela to chylothorax. Because of the poor prognosis for recovery from chylothorax in cats with thoracic duct ligation alone, and the lack of success in performing thoracic duct ligation in this cat, the omentum was advanced into the thorax through a hole created in the diaphragm and sutured within the thoracic cavity. The cat recovered from surgery and is clinically normal 13 months postoperatively. Omental advancement may be an effective surgical management technique for this challenging disease in cats.
一只6岁已绝育的雌性喜马拉雅猫患有特发性乳糜胸，药物治疗无效，通过将大网膜推进胸腔成功治愈。 exploratory thoracotomy显示严重的缩窄性胸膜炎，是乳糜胸的后遗症。由于仅行胸导管结扎术的猫乳糜胸恢复预后不佳，且该猫胸导管结扎术未成功，遂将大网膜通过膈肌上的孔推进胸腔并缝合于胸腔内。这只猫术后恢复，术后13个月临床正常。大网膜推进术可能是治疗猫这种具有挑战性疾病的一种有效手术管理技术。
