Kenney K J, Matthiesen D T, Brown N O, Bradley R L
Department of Surgery, Animal Medical Center, New York, NY 10021.
J Am Vet Med Assoc. 1987 Nov 1;191(9):1130-2.
Pyometra was diagnosed in 183 cats. The most common signs detected by owners included vaginal discharge, anorexia, and lethargy. Main clinical findings on physical examination were vaginal discharge, abdominal distention, dehydration, palpable uterus, and pyrexia. Abdominal radiography revealed a large uterus in 138/169 cats. Most cats had leukocytosis with a left shift. Diagnosis of pyometra was confirmed at surgery in all cats on the basis of finding a large uterus containing purulent material. Clinical signs resolved in 168 cats after surgery; 15 cats (8%) died or were euthanatized. Postoperative complications in 20% generally resolved within 2 weeks after the cats were sent home. Signs detected by owners and results of physical examination in cats with pyometra were similar, but not as conspicuous as those reported in the dog. Mortality (8%) was similar to that seen in dogs.
183只猫被诊断出患有子宫蓄脓。主人发现的最常见症状包括阴道分泌物、厌食和嗜睡。体格检查的主要临床发现为阴道分泌物、腹部膨胀、脱水、可触及的子宫和发热。腹部X光检查显示169只猫中有138只子宫增大。大多数猫有白细胞增多并伴有核左移。根据手术中发现子宫内有脓性物质，所有猫的子宫蓄脓诊断均得到证实。168只猫术后临床症状消失；15只猫（8%）死亡或被安乐死。20%的术后并发症通常在猫被送回家后2周内得到缓解。子宫蓄脓猫的主人发现的症状和体格检查结果相似，但不如犬类报告的那样明显。死亡率（8%）与犬类相似。
