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一匹纯种马驹因脊髓造影和全身麻醉引发的后遗症——胸膜肺炎

Pleuropneumonia as a sequela of myelography and general anaesthesia in a Thoroughbred colt.

作者信息

Rainger J E, Hughes K J, Kessell A, Dart C M

机构信息

University Veterinary Centre Camden, Faculty of Veterinary Science, The University of Sydney, 410 Werombi Road, Camden, New South Wales 2570.

出版信息

Aust Vet J. 2006 Apr;84(4):138-40. doi: 10.1111/j.1751-0813.2006.tb13399.x.

Abstract

A 3-year-old Thoroughbred colt was presented to the University Veterinary Centre Camden for evaluation of ataxia. The horse was anaesthetised to facilitate cervical radiography and myelographic examination of the spinal cord. Recovery from anaesthesia was uneventful. Five days after general anaesthesia the horse re-presented with pleuropneumonia. It was euthanased 24 hours after presentation on humane grounds. Necropsy revealed severe tracheal erosion over the middle third of the ventral surface of the trachea, pleuropneumonia and narrowing of the cervical cord between C4 and C6. It is postulated that extension and flexion of the neck during myelography resulted in movement of the endotracheal tube cuff, causing the tracheal lesion and predisposing the colt to pleuropneumonia. Severe tracheal lesions and pleuropneumonia have not been reported as sequela of equine myelography, and should be considered as possible complications following repeated cervical manipulation during myelography in the horse.

摘要

一匹3岁的纯种马驹被送到卡姆登大学兽医中心评估共济失调。对这匹马进行麻醉以便于进行颈椎X线摄影和脊髓造影检查。麻醉恢复过程顺利。全身麻醉五天后,这匹马再次出现胸膜肺炎。出于人道考虑,在就诊24小时后对其实施了安乐死。尸检发现气管腹侧表面中三分之一处有严重的气管糜烂、胸膜肺炎以及第4颈椎至第6颈椎之间的颈髓变窄。据推测,脊髓造影检查期间颈部的伸展和弯曲导致气管插管套囊移动,造成气管病变,并使马驹易患胸膜肺炎。严重的气管病变和胸膜肺炎尚未见报道为马脊髓造影的后遗症,在马脊髓造影期间反复进行颈椎操作后应将其视为可能的并发症。

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