Crawford Abbe H, Halfacree Zoe J, Lee Karla C L, Brockman Daniel J
Royal Veterinary College, Queen Mother Hospital for Small Animals, North Mymms, Hatfield, Herts AL9 7TA, UK.
J Feline Med Surg. 2011 Oct;13(10):762-7. doi: 10.1016/j.jfms.2011.03.004. Epub 2011 Sep 1.
Pneumonectomy is the resection of all lung lobes from one side of the thorax. The clinical findings, treatment and outcome of four cases of feline chronic pyothorax managed with exploratory thoracotomy and pneumonectomy are reported. All cases were initially medically managed with thoracic drain placement and antibiosis. However, resolution was not achieved with medical therapy and diagnostic imaging findings consistent with an area of abscessation or marked lung lobe consolidation were identified, supporting a decision for surgical management. Surgical exploration was performed via median sternotomy and, on the basis of gross inspection, non-functional lung was removed. A left-sided pneumonectomy was performed in three cats and a right-sided pneumonectomy in one. All cases survived to discharge and an excellent quality of life was reported on long-term follow-up. Pneumonectomy appears to be well tolerated in the cat.
肺切除术是指切除一侧胸腔内的所有肺叶。本文报告了4例采用开胸探查和肺切除术治疗的猫慢性脓胸的临床症状、治疗方法及结果。所有病例最初均采用胸腔置管引流和抗生素治疗。然而，药物治疗未能使病情缓解，经诊断性影像学检查发现存在脓肿区域或明显的肺叶实变，这支持了手术治疗的决定。通过正中胸骨切开术进行手术探查，并根据大体检查结果切除无功能的肺组织。3只猫进行了左侧肺切除术，1只猫进行了右侧肺切除术。所有病例均存活出院，长期随访显示生活质量良好。猫似乎对肺切除术耐受性良好。
