Evidensia Small Animal Veterinary Hospital Stommeln, Pulheim, Germany.
J Small Anim Pract. 2021 Aug;62(8):669-676. doi: 10.1111/jsap.13327. Epub 2021 Mar 19.
The aims of this retrospective study were to report the short- and long-term outcome in cats treated for pyothorax and to identify prognostic indicators as well as determine recurrence rate.
Medical records from April 2009 to August 2018 were retrospectively reviewed. Cases were included if a diagnosis of pyothorax was confirmed via cytology and/or culture of pleural fluid. Cats diagnosed with or suspected of having other thoracic diseases and cats with no evidence of pleural effusion were excluded from the study.
Fifty-five cats met the inclusion criteria. Eighty five percent (n=47) cats underwent medical management with thoracostomy tubes, pleural lavage and broad-spectrum antibiotics. Fifteen percent (n=5) cases failed medical treatment and underwent thoracotomy. Twenty eight percent (n=13) did not survive to hospital discharge. Short-term survival (14 days) was achieved in 72% (n=34). Long-term follow-up was available for 31 of 34 with a long-term survival rate of 68% (n=30). The recurrence rate was 6% (n=2).
For cats with pyothorax that survive to discharge the prognosis is excellent and the condition is associated with a low recurrence rate.
本回顾性研究旨在报告治疗脓胸的猫的短期和长期预后，并确定预后指标和复发率。
回顾性分析 2009 年 4 月至 2018 年 8 月的病历。如果通过胸腔积液的细胞学和/或培养确诊为脓胸，则将病例纳入研究。本研究排除了诊断为或疑似患有其他胸部疾病以及无胸腔积液证据的猫。
55 只猫符合纳入标准。85%（n=47）的猫接受了胸腔引流管、胸腔灌洗和广谱抗生素的内科治疗。15%（n=5）的病例内科治疗失败，接受了开胸手术。28%（n=13）的猫在出院前死亡。短期存活（14 天）率为 72%（n=34）。34 只猫中有 31 只获得了长期随访，长期存活率为 68%（n=30）。复发率为 6%（n=2）。
对于存活至出院的脓胸猫，预后良好，且该疾病的复发率较低。
