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支气管内植物性异物的犬支气管镜检查结果:84 例(2010-2020 年)。

Bronchoscopic findings in dogs with bronchial vegetal foreign bodies: 84 cases (2010-2020).

机构信息

Centre Hospitalier Vétérinaire Fregis, Arcueil, France.

Centre Hospitalier Vétérinaire Languedocia, Montpellier, France.

出版信息

J Small Anim Pract. 2023 Jun;64(6):384-391. doi: 10.1111/jsap.13600. Epub 2023 Mar 25.

Abstract

OBJECTIVES

To describe endoscopic findings, foreign body location, success rate of removal and complications in dogs with bronchial vegetal foreign bodies.

MATERIALS AND METHODS

The current study retrospectively evaluated the case records of dogs diagnosed with bronchial vegetal foreign bodies at a veterinary hospital centre between January 2010 and April 2020. Information retrieved included breed, sex, age, bodyweight, the season of presentation, presentation and duration of clinical signs, previous removal attempts performed by the referring veterinarian, foreign body location and endoscopic and imaging findings.

RESULTS

Eighty-four cases were included. Fifty-nine dogs (70%) presented during spring and summer. Cough (77 of 84; 92%) and fever (15 of 84; 18%) were the main clinical signs. One to 10 bronchial vegetal foreign bodies were removed from each dog. Purulent exudate was observed in the ventral larynx, trachea and bronchi in 49 (65%), 61 (81%) and 71 (95%) dogs, respectively. In most cases, only the barbules of the vegetal foreign bodies were initially observed during endoscopy. The presence of large bronchial nodules or an irregular mucosal surface was a frequent finding (62 of 75; 83%). Mild bleeding was the main complication (58 of 75; 77%) of endoscopic removal, which was successful in 67 of the 84 (80%) cases.

CLINICAL SIGNIFICANCE

Mucosal nodules associated with purulent material within the airways are frequent endoscopic findings in dogs with bronchial vegetal foreign bodies. Bronchoscopy is a relatively safe and useful technique for diagnosis and treatment of bronchial vegetal foreign bodies in dogs.

摘要

目的

描述犬支气管内植物性异物的内镜表现、异物位置、取出成功率和并发症。

材料和方法

本研究回顾性评估了 2010 年 1 月至 2020 年 4 月期间在一家兽医医院中心诊断为支气管内植物性异物的犬的病例记录。检索的信息包括品种、性别、年龄、体重、就诊季节、临床症状出现和持续时间、转诊兽医之前进行的异物取出尝试、异物位置以及内镜和影像学发现。

结果

共纳入 84 例病例。59 只犬(70%)在春夏季就诊。咳嗽(84 例中的 77 例,92%)和发热(84 例中的 15 例,18%)是主要的临床症状。每只犬取出 1 到 10 个支气管内植物性异物。49 只(65%)、61 只(81%)和 71 只(95%)犬的喉、气管和支气管内可见脓性渗出物。在大多数情况下,仅在支气管镜检查时观察到植物性异物的羽枝。大的支气管结节或不规则的黏膜表面是常见的表现(75 例中的 62 例,83%)。轻度出血是内镜取出的主要并发症(75 例中的 58 例,77%),84 例中的 67 例(80%)成功取出异物。

临床意义

支气管内植物性异物犬的气道内存在脓性物质相关的黏膜结节是常见的内镜表现。支气管镜检查是一种相对安全且有用的技术,可用于诊断和治疗犬的支气管内植物性异物。

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