Birchard S J, Bilbrey S A
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Ohio State University, Columbus 43210.
J Am Vet Med Assoc. 1990 Aug 15;197(4):507-9.
A 4-year-old castrated domestic shorthair cat was referred for treatment of chylothorax. Thoracic duct lymphangiography revealed partial obstruction of the cranial vena cava, as evidenced by filling of mediastinal lymphatics with dye instead of all of the dye entering the vena cava. The thoracic duct was ligated via left 10th intercostal space thoracotomy. Immediate postligation lymphangiography revealed successful duct ligation. Results of a serum ELISA for adult heartworm antigen that was performed before surgery were positive. Drug treatment for the heartworm disease was not recommended, because the pleural effusion had ceased (as determined by radiographic examination 3.5 and 9 months after surgery) and the cat was doing well clinically. Sixteen months after surgery, the owner reported that the cat was doing well and did not have signs of respiratory problems.
一只4岁去势的家养短毛猫因乳糜胸前来接受治疗。胸导管淋巴管造影显示头臂静脉部分阻塞，表现为染料充盈纵隔淋巴管而非全部进入静脉。通过左侧第10肋间开胸术结扎胸导管。结扎后立即进行的淋巴管造影显示导管结扎成功。术前进行的成年心丝虫抗原血清ELISA检测结果为阳性。不建议对心丝虫病进行药物治疗，因为胸腔积液已停止（通过术后3.5个月和9个月的影像学检查确定），且这只猫临床状况良好。术后16个月，主人报告说这只猫状况良好，没有呼吸问题的迹象。
