Department of Clinical Science and Services, The Royal Veterinary College, Hatfield, UK.
J Vet Emerg Crit Care (San Antonio). 2023 Jan;33(1):91-97. doi: 10.1111/vec.13265. Epub 2022 Nov 30.
To describe the use of small-bore wire-guided catheters in the management of peritoneal effusion in cats and dogs and to detail any associated adverse events.
Retrospective study.
University teaching hospital ANIMALS: Forty-five client-owned animals that had peritoneal catheters placed for management of peritoneal effusion between July 2010 and June 2021.
None.
Forty-five cases were included (25 dogs and 20 cats). Twenty-eight animals had the catheter placed to aid management of a uroabdomen, 8 of which recovered without surgical management, 11 had the catheter placed to allow autotransfusion of hemoabdomen, 3 had peritonitis, and 3 had ascites secondary to cardiac disease. Twenty-seven cases (15 dogs and 12 cats) received sedation (n = 24) or local anesthesia alone (n = 3) to facilitate catheter placement, and 6 cases had the catheter placed while under general anesthesia. Median length of catheter persistence was 24 hours (range: 2-144 h). The most common adverse events reported were impaired drainage (n = 7) and leakage at the insertion site (n = 4).
Peritoneal catheters can be inserted percutaneously for management of peritoneal effusion. Indications include stabilization and conservative management of uroabdomen, and autotransfusion. They can often be placed with minimal or no sedation and adverse events appear infrequent in occurrence.
描述在猫和犬中使用小口径导丝引导的导管来处理腹腔积液，并详细说明任何相关的不良事件。
回顾性研究。
大学教学医院。
2010 年 7 月至 2021 年 6 月期间，有 45 只患宠因腹腔积液接受了腹腔置管治疗。
无。
共纳入 45 例（25 只狗和 20 只猫）。28 只动物因腹水中毒而放置导管以辅助治疗，其中 8 只无需手术治疗即可康复，11 只因血腹而放置导管以允许自体输血，3 只患有腹膜炎，3 只因心脏疾病继发腹水。27 例（15 只狗和 12 只猫）接受镇静（n=24）或单独局部麻醉（n=3）以促进导管放置，6 例在全身麻醉下放置导管。导管留置的中位时间为 24 小时（范围：2-144 小时）。报告的最常见不良事件为引流不畅（n=7）和置管部位渗漏（n=4）。
可以经皮插入腹腔导管以治疗腹腔积液。适应证包括稳定和保守治疗腹水中毒，以及自体输血。通常可以在最小或无需镇静的情况下放置导管，且不良事件的发生频率似乎较低。
