Lakeshore Veterinary Specialists, 2100 W Silver Spring Drive, Glendale, Wisconsin 53209, USA.
Can Vet J. 2021 Jun;62(6):586-590.
A 2-year-old neutered male 35-kg golden retriever mixed breed dog was presented because of a 3-day history of increased respiratory effort. The patient was subsequently diagnosed with a lung lobe torsion and underwent lung lobectomy. Chylothorax developed after surgery and persisted for 3.5 y. Pleural access port (PAP) placement was used for long-term medical management. Several complications were encountered, including 2 episodes of PAP occlusion that were successfully treated with unfractionated heparin. The dog had a surgical site seroma and 2 episodes of pleuritis; euthanasia was elected after the second episode. Key clinical message: This case demonstrates successful long-term management of chylothorax with a pleural access port and management of 3 complications. Instead of the less accessible and more expensive tissue plasminogen activator, unfractionated heparin was used as an effective treatment for PAP occlusions.
一只 2 岁、已去势的 35 公斤雄性金毛猎犬杂种犬，因呼吸困难加剧 3 天就诊。随后诊断为肺叶扭转，并进行了肺叶切除术。术后并发乳糜胸，持续 3.5 年。使用胸腔接入端口（PAP）进行长期药物治疗。在此期间，出现了多种并发症，包括 2 次 PAP 阻塞，均成功用未分级肝素治疗。该犬还发生了手术部位血清肿和 2 次胸膜炎；第二次胸膜炎发作后，选择了安乐死。主要临床信息：本病例通过胸腔接入端口成功治疗乳糜胸，并处理了 3 种并发症，展示了其长期管理方法。未分级肝素被用作 PAP 阻塞的有效治疗方法，而不是使用较难触及且更昂贵的组织纤溶酶原激活剂。
