一匹患有马垂体中间叶功能障碍（PPID）的马在麻醉期间发生膈疝。
Perianesthetic development of diaphragmatic hernia in a horse with equine pituitary pars intermedia dysfunction (PPID).
作者信息
Shepard Molly K, Lee Wesley L, Eggleston Randy B
机构信息
Department of Large Animal Medicine, College of Veterinary Medicine, 501 DW Brooks Drive, University of Georgia, Athens, Georgia 30602, USA.
出版信息
Can Vet J. 2015 Jan;56(1):48-52.
A 21-year-old Thoroughbred gelding with a history of equine pituitary pars intermedia dysfunction (PPID) presented with priapism of 2 days' duration. The horse received a caudal morphine epidural and then underwent corpus cavernosum lavage and phallectomy under general anesthesia. The patient's recovery featured multiple unsuccessful attempts to stand and his respiratory distress persisted for several hours until he acutely developed severe colic and was euthanized. Necropsy findings revealed a pituitary adenoma of the pars intermedia, bilateral adrenal cortical hyperplasia, and diaphragmatic herniation. This report suggests that horses with PPID may present a greater risk for diaphragmatic hernia under general anesthesia or during procedures placing stress on the diaphragm, including anesthetic recovery.
一匹21岁的纯种马，有马垂体中间叶功能障碍（PPID）病史，出现持续2天的阴茎异常勃起。该马接受了尾侧吗啡硬膜外注射，然后在全身麻醉下进行了海绵体灌洗和阴茎切除术。患者恢复过程中多次尝试站立均未成功，呼吸窘迫持续数小时，直至急性发作严重腹痛后实施安乐死。尸检结果显示垂体中间叶腺瘤、双侧肾上腺皮质增生和膈疝。本报告提示，患有PPID的马匹在全身麻醉下或在对膈肌施加压力的手术过程中，包括麻醉恢复期间，发生膈疝的风险可能更高。
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