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医源性脂质性肺炎,见于成年马。

latrogenic lipoid pneumonia in an adult horse.

机构信息

Section of Veterinary Clinical Studies, University Veterinary Hospital, School of Agriculture, Food Science and Veterinary Medicine, University College Dublin, Belfield, Dublin 4, Ireland.

出版信息

Ir Vet J. 2010 May 1;63(5):303-6. doi: 10.1186/2046-0481-63-5-303.

Abstract

A 20-year-old gelding presented with a history of acute respiratory distress which began immediately after administration of a mineral oil and water mix, via nasogastric intubation, for treatment of suspected gastrointestinal dysfunction. An initial presumptive diagnosis of acute lipoid pneumonia was made; this was further supported by evidence of arterial hypoxaemia and oxygen desaturation on arterial blood gas analysis, ultrasonographic signs of bilateral ventral lung consolidation and a mixed bronchoalveolar-interstitial lung pattern seen on thoracic radiographs. Despite intensive supportive therapy the horse's condition continued to deteriorate and the decision was made for humane euthanasia. Gross necropsy findings supported the clinical diagnosis of lipoid pneumonia.

摘要

一匹 20 岁的骟马因疑似胃肠道功能障碍,通过鼻胃管给予矿物油和水的混合物后,立即出现急性呼吸窘迫症状。最初推测诊断为急性脂质性肺炎;动脉血气分析显示低氧血症和氧饱和度降低,超声检查显示双侧肺腹侧实变,胸部 X 光片显示混合性细支气管肺泡间质模式,进一步支持了这一诊断。尽管进行了强化支持治疗,但马的病情仍继续恶化,最终决定进行人道安乐死。大体剖检结果支持脂质性肺炎的临床诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76c4/3113859/f1a686eddd25/2046-0481-63-5-303-1.jpg

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