使用胸腔接入端口治疗猫的脓胸。

Use of a pleural access port for the treatment of pyothorax in a cat.

机构信息

Veterinary Medical Center, City University of Hong Kong, Hong Kong SAR, China.

出版信息

Open Vet J. 2021 Apr-Jun;11(2):283-288. doi: 10.5455/OVJ.2021.v11.i2.12. Epub 2021 Jun 9.

Abstract

BACKGROUND

Pyothorax in cats is treated with intravenous fluids and antibiotics, and while thoracotomy and debridement are less commonly necessary, thoracostomy tubes are the treatment of choice when repeated drainage of the pleural cavity is needed.

CASE DESCRIPTION

An 11-month-old British short-haired cat was presented for a sudden onset of lethargy, dyspnea, and tachypnea, following an ovariohysterectomy 10 days prior to the treatment process. Pyrexia and muffled cardiac sounds on the left hemithorax were noted. A hemogram indicated the development of anemia and neutrophilia with a left shift. Radiography and ultrasonography confirmed a pleural effusion, and a CT scan ruled out the presence of any masses or perforating foreign bodies. A PCR on the pleural effusion ruled out feline coronavirus infection, and fluid analysis was confirmed as a septic exudate with infection. A pleural access port was used to treat the pyothorax that successfully reduced hospitalization time and lowered overall financial outlay despite surgical implantation.

CONCLUSION

The present report describes the successful use of a pleural port to treat pyothorax in one cat. This is the first time such a device has been reported for the treatment of pyothorax.

摘要

背景

猫的脓胸通过静脉输液和抗生素进行治疗,虽然开胸术和清创术不太常见,但当需要反复引流胸腔时,胸腔引流管是首选的治疗方法。

病例描述

一只 11 个月大的英国短毛猫在接受卵巢子宫切除术 10 天后,突然出现嗜睡、呼吸困难和呼吸急促,随后被送到医院。左侧胸腔有发热和心音低沉。血常规显示贫血和中性粒细胞左移。放射摄影和超声检查证实有胸腔积液,CT 扫描排除了任何肿块或穿孔性异物的存在。胸腔积液的 PCR 排除了猫冠状病毒感染,液体分析证实是感染引起的化脓性渗出液。使用胸腔接入端口来治疗脓胸,尽管进行了手术植入,但成功地缩短了住院时间并降低了整体费用。

结论

本报告描述了使用胸腔端口成功治疗一只猫的脓胸。这是第一次报道使用这种设备治疗脓胸。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/de35/8288731/03ef7ab13413/OpenVetJ-11-283-g001.jpg

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