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犬吞食 Gorilla Glue:22 例报告(2005-2019)。

Gorilla Glue Ingestion in Dogs: 22 Cases (2005-2019).

出版信息

J Am Anim Hosp Assoc. 2021 May 1;57(3):121-127. doi: 10.5326/JAAHA-MS-7126.

DOI:10.5326/JAAHA-MS-7126
PMID:33770163
Abstract

Gorilla Glue contains methylene diphenyl diisocyanate that expands significantly and hardens once exposed to moisture. Case reports of methylene diphenyl diisocyanate glue ingestion in dogs document gastrointestinal foreign body formation and mechanical obstruction. Medical record queries from four veterinary hospitals identified 22 dogs with Gorilla Glue ingestion. Records were evaluated retrospectively to characterize clinical presentation, diagnostic findings, treatment, and patient outcome. Vomiting was the most common clinical sign (n = 11), with a median time from ingestion to presentation of 42 hr. Abnormal abdominal palpation (e.g., pain) was the most reported examination finding (n = 13). Radiographs were performed in 18/22 dogs, with Gorilla Glue expansion described as granular or mottled soft tissue with gas in the stomach. In 73% (11/15) of dogs requiring surgery, history, clinical findings, and survey abdominal radiographs sufficed to proceed with celiotomy. Surgical removal of the Gorilla Glue foreign body was performed via gastrotomy (n = 14) or gastrotomy and duodenotomy (n = 1). Endoscopic removal was performed in one dog. One dog with suspected mechanical obstruction was euthanized owing to financial constraints. Remaining cases were managed conservatively (n = 5). Short-term prognosis following appropriate fluid therapy and surgical or endoscopic removal was very good.

摘要

大猩猩胶含有二异氰酸亚甲基二苯酯,一旦暴露在潮湿环境中会显著膨胀并变硬。狗摄入二异氰酸亚甲基二苯酯胶的病例报告记录了胃肠道异物形成和机械性梗阻。四家兽医医院的病历查询确定了 22 只摄入大猩猩胶的狗。对记录进行回顾性评估,以描述临床表现、诊断结果、治疗和患者预后。呕吐是最常见的临床症状(n = 11),从摄入到出现症状的中位时间为 42 小时。异常的腹部触诊(如疼痛)是最常见的检查结果(n = 13)。18/22 只狗进行了放射检查,大猩猩胶扩张描述为胃内颗粒状或斑驳状软组织伴气。在需要手术的 15 只狗中,73%(11/15)的狗仅根据病史、临床发现和腹部放射检查即可进行剖腹手术。通过胃造口术(n = 14)或胃造口术和十二指肠切开术(n = 1)进行了大猩猩胶异物的外科切除。一只狗通过内窥镜进行了移除。一只疑似机械性梗阻的狗因经济限制而被安乐死。其余病例均进行保守治疗(n = 5)。在适当的液体治疗以及手术或内窥镜取出后,短期预后非常好。

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Gorilla Glue Ingestion in Dogs: 22 Cases (2005-2019).犬吞食 Gorilla Glue:22 例报告(2005-2019)。
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What is your diagnosis? Exploratory celiotomy and gastrotomy, with retrieval of the foreign body, have been associated with an excellent prognosis for full recovery.你的诊断是什么?剖腹探查术和胃切开术并取出异物,与完全康复的良好预后相关。
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