Parsons K J, Owen L J, Lee K, Tivers M S, Gregory S P
Department of Veterinary Clinical Sciences, Royal Veterinary College, Hawkshead Lane, North Mymms. Hatfield, Hertfordshire, AL9 7TA, UK.
J Small Anim Pract. 2009 Oct;50(10):518-24. doi: 10.1111/j.1748-5827.2009.00790.x.
To review aetiology, clinical signs and outcome of cats surgically treated for septic peritonitis (2000-2007).
A retrospective study. Inclusion criteria were the identification of intracellular bacteria and degenerate neutrophils and/or a positive culture from abdominal fluid and exploratory coeliotomy. Aetiology, clinical signs, haematological and biochemical parameters, surgical treatment and outcome were recorded and analysed.
Twenty-six cats fulfilled the inclusion criteria. Abdominal pain was reported in 10 (38 per cent) and vomiting was reported in 11 (42 per cent) of the cats. The most common aetiology was trauma (31 per cent). The principal source of contamination was the gastrointestinal tract. Hyperlactataemia, hypoproteinaemia and hyperglycaemia were reported in 9, 13 and 14 of the 26 cases, respectively. Non-survivors had significantly higher blood lactate concentrations than survivors (P=0.02). Nineteen cats were managed with primary closure, two with closed suction drains and three with open peritoneal drainage. Twelve (46 per cent) cats survived to discharge.
In cats, lethargy, depression and anorexia were more common clinical signs than abdominal pain. Lactate level at the time of diagnosis may be a useful prognostic indicator in cats. The proportion of cats that survived was lower than previously reported and owners should be given a guarded prognosis.
回顾2000年至2007年接受手术治疗的猫败血症性腹膜炎的病因、临床体征及预后。
一项回顾性研究。纳入标准为在腹腔液和剖腹探查术中发现细胞内细菌和变性中性粒细胞及/或培养结果呈阳性。记录并分析病因、临床体征、血液学和生化参数、手术治疗及预后情况。
26只猫符合纳入标准。10只（38%）猫有腹痛症状，11只（42%）猫有呕吐症状。最常见的病因是外伤（31%）。主要污染来源是胃肠道。26例中分别有9例、13例和14例出现高乳酸血症、低蛋白血症和高血糖症。非存活者的血乳酸浓度显著高于存活者（P = 0.02）。19只猫采用一期缝合处理，2只采用闭式引流，3只采用开放腹腔引流。12只（46%）猫存活至出院。
在猫中，嗜睡、抑郁和厌食比腹痛更常见。诊断时的乳酸水平可能是猫的一个有用的预后指标。存活猫的比例低于先前报道，应向猫主人告知预后不良。
