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犬猫穿透性损伤。16例病例研究。

Penetrating injuries in dogs and cats. A study of 16 cases.

作者信息

Risselada M, de Rooster H, Taeymans O, van Bree H

机构信息

Department of Medical Imaging of Domestic Animals, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.

出版信息

Vet Comp Orthop Traumatol. 2008;21(5):434-9.

Abstract

The objective of this retrospective study was to assess radiographical and surgical findings, surgical management and outcome of penetrating injuries in dogs and cats by evaluating patient records. Sixteen patients were identified (15 dogs and one cat), four with gunshot wounds, and 12 with fight wounds (11 with bite wounds, one struck by a claw). The thoracic cavity was affected in six patients, the abdominal cavity in three cases. Both cavities were affected in five dogs and the trachea in two cases. All of the patients with fight wounds were small breed dogs. Multiple injuries to internal organs that required intervention were found surgically after gunshot wounds and a high amount of soft tissue trauma requiring reconstruction was present after fight wounds. Radiography diagnosed body wall disruption in two cases. All of the affected thoracic body walls in the fight group had intercostal muscle disruptions which was diagnosed surgically. Fourteen patients survived until discharge and had a good outcome. In conclusion, penetrating injuries should be explored as they are usually accompanied by severe damage to either the internal organs or to the body wall. A high level of awareness is required to properly determine the degree of trauma of intercostal muscle disruption in thoracic fight wounds.

摘要

这项回顾性研究的目的是通过评估患者记录,来评估犬猫穿透伤的影像学和手术发现、手术管理及结果。共确定了16例患者(15只犬和1只猫),其中4例为枪伤,12例为打斗伤(11例为咬伤,1例为抓伤)。6例患者胸腔受累,3例腹腔受累。5只犬胸腔和腹腔均受累,2例气管受累。所有打斗伤患者均为小型犬。枪伤后手术发现多处内部器官损伤需要干预,打斗伤后存在大量需要重建的软组织创伤。X线检查诊断出2例体壁破裂。打斗组所有受累的胸壁均有肋间肌损伤,经手术诊断。14例患者存活至出院,预后良好。总之,穿透伤应进行探查,因为它们通常伴有内部器官或体壁的严重损伤。需要高度警惕,以正确确定胸部打斗伤中肋间肌损伤的创伤程度。

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