Swinbourne F, Baines E A, Baines S J, Halfacree Z J
Department of Veterinary Clinical Sciences, The Royal Veterinary College, North Mymms, Hatfield, Hertfordshire AL9 7TA.
J Small Anim Pract. 2011 Apr;52(4):203-8. doi: 10.1111/j.1748-5827.2011.01051.x.
To describe computed tomographic (CT) findings in canine spontaneous pyothorax and compare them to surgical findings and to assess the utility of CT in guiding case management.
Records from 2003 to 2010 were reviewed to identify dogs, with spontaneous pyothorax, which had undergone CT. Cases were managed medically or surgically. CT images and surgery reports were reviewed and compared for surgical cases.
Twelve dogs were included. Eight were managed surgically, three were managed medically and one died before management. Pleural fluid was present in all dogs on CT (n=12) and at surgery (n=8). Pleural gas was identified in five dogs on CT. Pleural thickening was detected in eight dogs on CT (seven visceral, one parietal and six mediastinal) and eight dogs at surgery (seven visceral, eight parietal and six mediastinal), six of which were identified by CT. Abnormal pulmonary parenchyma was detected in 10 dogs on CT and 5 dogs at surgery, all of which were identified by CT. Mediastinal involvement was detected in 10 dogs on CT and 6 dogs at surgery, 5 of which were identified by CT.
CT and surgical findings are similar in most cases of canine spontaneous pyothorax. CT may be a useful diagnostic tool for guiding case management.
描述犬自发性脓胸的计算机断层扫描（CT）表现，并将其与手术结果进行比较，评估CT在指导病例管理中的效用。
回顾2003年至2010年的记录，以识别接受过CT检查的患有自发性脓胸的犬。病例采用药物治疗或手术治疗。对手术病例的CT图像和手术报告进行回顾和比较。
纳入12只犬。8只接受手术治疗，3只接受药物治疗，1只在治疗前死亡。所有犬在CT检查时（n = 12）和手术时（n = 8）均存在胸腔积液。CT检查发现5只犬存在胸腔积气。CT检查发现8只犬存在胸膜增厚（7只脏层、1只壁层和6只纵隔胸膜），手术时发现8只犬存在胸膜增厚（7只脏层、8只壁层和6只纵隔胸膜），其中6只通过CT检查发现。CT检查发现10只犬肺实质异常，手术时发现5只犬肺实质异常，所有这些均通过CT检查发现。CT检查发现10只犬纵隔受累，手术时发现6只犬纵隔受累，其中5只通过CT检查发现。
在大多数犬自发性脓胸病例中，CT表现和手术结果相似。CT可能是指导病例管理的有用诊断工具。
