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去势手术对猫的腹内压和腹主动脉灌注压的影响。

Effects of ovariohysterectomy on intra-abdominal pressure and abdominal perfusion pressure in cats.

机构信息

Servei d'Emergències i Cures Intensives, Fundació Hospital Clínic Veterinari, Edifici V, Campus Universitari, Universitat Autònoma de Barcelona, Cerdanyola del Vallès, Barcelona 08193, Spain.

出版信息

Vet Rec. 2012 Dec 15;171(24):622. doi: 10.1136/vr.100791. Epub 2012 Nov 1.

Abstract

Intra-abdominal pressure (IAP) and abdominal perfusion pressure (APP) have shown clinical relevance in monitoring critically ill human beings submitted to abdominal surgery. Only a few studies have been performed in veterinary medicine. The aim of this study was to assess how pregnancy and abdominal surgery may affect IAP and APP in healthy cats. For this purpose, pregnant (n=10) and non-pregnant (n=11) queens undergoing elective spaying, and tomcats (n=20, used as controls) presented for neutering by scrotal orchidectomy were included in the study. IAP, mean arterial blood pressure (MAP), APP, heart rate and rectal temperature (RT) were determined before, immediately after, and four hours after surgery. IAP increased significantly immediately after abdominal surgery in both female groups when compared with baseline (P<0.05) and male (P<0.05) values, and returned to initial perioperative readings four hours after surgery. Tomcats and pregnant females (P<0.05) showed an increase in MAP and APP immediately after surgery decreasing back to initial perioperative values four hours later. A significant decrease in RT was appreciated immediately after laparotomy in both pregnant and non-pregnant queens. IAP was affected by abdominal surgery in this study, due likely to factors, such as postoperative pain and hypothermia. Pregnancy did not seem to affect IAP in this population of cats, possibly due to subjects being in early stages of pregnancy.

摘要

腹腔内压(IAP)和腹部灌注压(APP)在监测接受腹部手术的危重病人类方面显示出临床相关性。兽医领域仅进行了少数研究。本研究旨在评估妊娠和腹部手术如何影响健康猫的 IAP 和 APP。为此,纳入了接受择期绝育手术的妊娠(n=10)和非妊娠(n=11)母猫,以及接受阴囊睾丸切除术绝育的公猫(n=20,用作对照)。在手术前、手术后立即和手术后 4 小时测量 IAP、平均动脉血压(MAP)、APP、心率和直肠温度(RT)。与基线(P<0.05)和男性(P<0.05)值相比,两组女性在腹部手术后立即 IAP 显著升高,并且在手术后 4 小时恢复到初始围手术期读数。公猫和妊娠母猫(P<0.05)在手术后立即 MAP 和 APP 增加,4 小时后降至初始围手术期值。在接受剖腹术的妊娠和非妊娠母猫中,立即出现 RT 显著下降。在本研究中,由于术后疼痛和低体温等因素,腹部手术会影响 IAP。妊娠似乎不会影响本研究猫群的 IAP,可能是因为研究对象处于妊娠早期。

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