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三只猫自发性胃穿孔的成功手术治疗

Successful surgical management of spontaneous gastric perforations in three cats.

作者信息

Cariou Matthieu P L, Halfacree Zoe J, Lee Karla C L, Baines Stephen J

机构信息

Queen Mother Hospital for Animals, Royal Veterinary College, North Mymms, Hatfield, Hertfordshire AL9 7TA, UK.

出版信息

J Feline Med Surg. 2010 Jan;12(1):36-41. doi: 10.1016/j.jfms.2009.12.005.

DOI:10.1016/j.jfms.2009.12.005
PMID:20123485
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10845476/
Abstract

BACKGROUND

In the veterinary literature, feline gastroduodenal ulcer disease has been described only in individual case reports or retrospective studies reporting small numbers of cats. Although its canine counterpart is commonly encountered, less is known about factors predisposing cats to gastroduodenal ulceration and potentially perforation. Similarly the outcome following treatment is not well reported in this species.

REPORTED RISK FACTORS

In dogs, hepatic disease and administration of non-steroidal anti-inflammatory drugs (NSAIDs) have been reported as the two most common causes of gastroduodenal ulceration. In cats, only one clinical report so far has implicated an NSAID as a risk factor for spontaneous gastroduodenal perforation.

FINDINGS AND PRACTICAL RELEVANCE

This report describes the historical and physical findings, as well as the treatment and outcome, in three cats with spontaneous gastric perforation that were receiving anti-inflammatory medication immediately prior to presentation. It highlights the importance of thorough patient evaluation in any cat presenting with non-specific clinical signs and a history of anti-inflammatory drug administration.

摘要

背景

在兽医文献中,猫胃十二指肠溃疡病仅在个别病例报告或报告猫数量较少的回顾性研究中有所描述。尽管犬类的同类疾病很常见,但对于猫发生胃十二指肠溃疡及潜在穿孔的易感因素了解较少。同样,该物种治疗后的结果也鲜有报道。

报道的风险因素

在犬类中,肝脏疾病和非甾体抗炎药(NSAIDs)的使用被报道为胃十二指肠溃疡的两个最常见原因。在猫中,迄今为止仅有一份临床报告表明NSAIDs是自发性胃十二指肠穿孔的一个风险因素。

研究结果及实际意义

本报告描述了三只自发性胃穿孔猫的病史、体格检查结果以及治疗和预后情况,这些猫在就诊前均正在接受抗炎药物治疗。它强调了对任何出现非特异性临床症状且有抗炎药物使用史的猫进行全面评估的重要性。

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本文引用的文献

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Acute effects of carprofen and meloxicam on canine gastrointestinal permeability and mucosal absorptive capacity.卡洛芬和美洛昔康对犬胃肠道通透性和黏膜吸收能力的急性影响。
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Increase in nonfatal digestive perforations and haemorrhages following introduction of selective NSAIDs: a public health concern.引入选择性非甾体抗炎药后非致命性消化性穿孔和出血的增加:一个公共卫生问题。
Drug Saf. 2006;29(7):613-20. doi: 10.2165/00002018-200629070-00006.
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Gastrointestinal tract perforation in dogs treated with a selective cyclooxygenase-2 inhibitor: 29 cases (2002-2003).使用选择性环氧化酶-2抑制剂治疗的犬胃肠道穿孔:29例(2002 - 2003年)
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Tension pneumoperitoneum due to gastric perforation in a cat.
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Underlying cause, pathophysiologic abnormalities, and response to treatment in cats with septic peritonitis: 51 cases (1990-2001).1990年至2001年51例猫败血症性腹膜炎的潜在病因、病理生理异常及治疗反应
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Spontaneous gastroduodenal perforation in 16 dogs and seven cats (1982-1999).
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