Benavides Kathryn L, Rozanski Elizabeth A, Oura Trisha J
Department of Clinical Sciences, Cummings School of Veterinary Medicine, Tufts University, 55 Willard Street, North Grafton, Massachusetts 01536, USA.
Can Vet J. 2019 Jan;60(1):60-66.
The purpose of this study was to assess survival to discharge of animals with surgical or postmortem confirmation of a lung lobe torsion (LLT) as well as to evaluate pre-operative effusion, lung lobe affected, and patient size as prognostic indicators. Medical records search identified 35 dogs and 4 cats with a confirmed diagnosis including 17 small-breed dogs, 18 large-breed dogs, 3 domestic shorthair cats, and 1 minskin cat. Lobes affected included right middle ( = 18), left cranial ( = 18), right cranial ( = 2), left caudal ( = 1), and accessory ( = 1). Two animals died before surgery; the remaining 37 animals underwent thoracotomy. All treated small-breed dogs and cats survived; 12/18 large-breed dogs survived, with an overall survival to discharge of 87%. Pre-operative pleural effusion and affected lung lobe did not affect survival to discharge in this population. Small dogs and cats with LLT appear to have an excellent survival to discharge following thoracotomy and the survival is good in larger dogs.
本研究的目的是评估经手术或尸检确诊为肺叶扭转(LLT)的动物出院时的存活率,并评估术前积液、受影响的肺叶以及动物体型作为预后指标。病历检索确定了35只犬和4只猫确诊为此病,其中包括17只小型犬、18只大型犬、3只家猫和1只迷你雪纳瑞猫。受影响的肺叶包括右中叶(=18)、左前叶(=18)、右前叶(=2)、左后叶(=1)和副叶(=1)。2只动物在手术前死亡;其余37只动物接受了开胸手术。所有接受治疗的小型犬和猫均存活;18只大型犬中有12只存活,总体出院存活率为87%。术前胸腔积液和受影响的肺叶对该群体的出院存活率没有影响。患有LLT的小型犬和猫开胸手术后出院存活率似乎极高,大型犬的存活率也较好。