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使用一种独特的方法从猫的气管中取出异物。

Use of a unique method for removal of a foreign body from the trachea of a cat.

作者信息

Goodnight Michelle E, Scansen Brian A, Kidder Aimee C, Cooper Edward S, Butler Amy L

机构信息

Department of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH 43210, USA.

出版信息

J Am Vet Med Assoc. 2010 Sep 15;237(6):689-94. doi: 10.2460/javma.237.6.689.

DOI:10.2460/javma.237.6.689
PMID:20839991
Abstract

CASE DESCRIPTION

A 2.96-kg (6.5-lb) 9-month-old spayed female domestic longhair cat was admitted for removal of a tracheal foreign body.

CLINICAL FINDINGS

The cat had moderate respiratory distress but otherwise appeared to be healthy. Thoracic radiography revealed a foreign body in the trachea.

TREATMENT AND OUTCOME

The cat was anesthetized and endoscopy of the trachea was performed in an attempt to retrieve the foreign body. Endoscopic removal was unsuccessful because of the shape and smooth texture of the foreign body. Surgical removal of the foreign body was not considered ideal because of its location and the risks associated with tracheotomy. Fluoroscopic-guided placement of an over-the-wire balloon catheter caudal to the foreign body was followed by inflation of the balloon and gradual traction in an orad direction, which resulted in successful removal of the foreign body (identified as a piece of landscaping gravel). The cat required supplemental oxygen and supportive care following removal of the foreign body.

CLINICAL RELEVANCE

A fluoroscopic technique was used as a minimally invasive alternative to endoscopy or open-chest surgery for removal of a foreign body from the trachea of a cat. Use of this technique allowed uninterrupted ventilation of the cat throughout the procedure.

摘要

病例描述

一只体重2.96千克(6.5磅)的9个月大已绝育雌性家养长毛猫因取出气管异物入院。

临床发现

这只猫有中度呼吸窘迫,但其他方面看起来健康。胸部X光检查显示气管内有异物。

治疗与结果

对这只猫进行麻醉并实施气管内窥镜检查,试图取出异物。由于异物的形状和光滑质地,内窥镜取出未成功。由于异物位置及气管切开相关风险,手术取出异物也并非理想选择。在透视引导下,将带导丝的球囊导管置于异物尾侧,然后充盈球囊并向口腔方向逐渐牵引,成功取出异物(经确认是一块园林砾石)。取出异物后,这只猫需要补充氧气和支持性护理。

临床意义

一种透视技术被用作从猫气管取出异物的微创替代方法,以取代内窥镜检查或开胸手术。使用该技术可使猫在整个手术过程中保持不间断通气。

相似文献

1
Use of a unique method for removal of a foreign body from the trachea of a cat.使用一种独特的方法从猫的气管中取出异物。
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