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一只犬医源性腔静脉横断与修复后长期急性腔静脉闭塞的结局

Outcome of prolonged acute vena cava occlusion after iatrogenic transection and repair in a dog.

作者信息

Halwagi Marie-Chantal, Crawford Evan, Hoddinott Katie, Oblak Michelle L

机构信息

Centre Vétérinaire Daubigny, 3405 Wilfrid-Hamel boulevard, Quebec G1P 2J3 (Halwagi); Boundary Bay Veterinary Specialty Hospital, 6325 204 Street #306, Langley, British Columbia V2Y 3B3 (Crawford); Department of Clinical Sciences, Ontario Veterinary College, University of Guelph, 28 College Avenue West, Guelph, Ontario N1G 2W1 (Hoddinott, Oblak).

出版信息

Can Vet J. 2017 Aug;58(8):845-850.

Abstract

A 12-year-old castrated male Airedale terrier dog was diagnosed with a hepatocellular carcinoma in the right medial liver lobe. During tumor resection, inadvertent stapling and transection of the caudal vena cava occurred. Complete caval occlusion was required for 18 minutes and primary anastomosis was completed. The dog received 2 blood transfusions and developed mild pelvic limb edema after surgery. Computed tomography evaluation 9 months after surgery showed collateral circulation and suspected stricture of the vena cava with an absence of clinical effect. The dog remained alive and asymptomatic more than 1 year after surgery.

摘要

一只12岁的去势雄性艾尔谷梗犬被诊断出右内侧肝叶患有肝细胞癌。在肿瘤切除过程中,意外地用吻合器吻合并横断了尾腔静脉。需要完全阻断腔静脉18分钟,并完成了一期吻合。这只狗接受了2次输血,术后出现轻度盆腔肢体水肿。术后9个月的计算机断层扫描评估显示有侧支循环,怀疑腔静脉狭窄,但无临床症状。这只狗术后存活超过1年且无症状。

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