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猫的脓胸通过胸腔内清创术和术后通气支持来治疗。

Pyothorax in a cat managed by intrathoracic debridement and postoperative ventilatory support.

机构信息

Department of Veterinary Surgery, Faculty of Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland.

出版信息

Ir Vet J. 2005 Apr 1;58(4):211-5. doi: 10.1186/2046-0481-58-4-211.

Abstract

: A domestic-longhair cat presented due to lethargy, dyspnoea and hypersalivation. Radiographic examination revealed a bilateral pleural effusion, which was diagnosed as pyothorax based on cytological examination. Ultrasonographic examination revealed extensive loculations within the thoracic cavity. Exploratory sternotomy, under general anaesthesia, allowed the removal of approximately 100 ml of purulent fluid and debridement of a partially walled-off abscess and necrotic material from the pleural cavity. Postoperative positive-pressure ventilation was required due to severe respiratory depression. Intensive postoperative care, including intensive continuous monitoring, thoracostomy tube drainage and lavage of the pleural cavity and oesophagostomy tube feeding, was performed. Complete resolution of clinical signs had occurred by 15 days postoperatively. Clinical or radiographic abnormalities were not detected at a follow-up examination one year after surgery.

摘要

: 一只家猫因嗜睡、呼吸困难和唾液分泌过多而就诊。放射学检查显示双侧胸腔积液,根据细胞学检查诊断为脓胸。超声检查显示胸腔内广泛分隔。在全身麻醉下进行胸骨切开术,可清除约 100 毫升脓性液体,并清除胸腔内部分隔离的脓肿和坏死物质。由于严重的呼吸抑制,术后需要正压通气。术后给予包括 intensive continuous monitoring(重症监护)、胸腔引流和胸腔冲洗以及食管造口管喂养等 intensive postoperative care(术后护理)。术后 15 天,临床症状完全缓解。术后一年的随访检查未发现临床或影像学异常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e53c/3113913/2f3cc6e4e877/2046-0481-58-4-211-1.jpg

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