Stokhof A A
Vet Q. 1986 Jul;8(3):177-83. doi: 10.1080/01652176.1986.9694040.
Diaphragmatic hernia frequently occurs as a consequence of traffic accidents. The 'pendulating' or 'inspiratory abdominal' respiration and the sinistro- or dextrocardia are often diagnostic. Palpation of the apex beat proved to be reliable way of determining whether median, left- or right-sided thoracotomy was indicated. In this paper the results of surgical treatment of 49 dogs and 72 cats by means of a thoracic approach are presented. In 46 dogs full recovery was achieved, three animals died. From the 72 cats 10 patients died and 62 recovered. Based upon the comparison of these figures and reports from the literature using the abdominal approach, we consider thoracotomy superior to the abdominal approach for this type of patient.
膈疝常因交通事故而发生。“摆动性”或“吸气性腹部”呼吸以及左位心或右位心常具有诊断意义。触诊心尖搏动被证明是确定是否需要进行正中、左侧或右侧开胸手术的可靠方法。本文介绍了采用开胸手术方法对49只犬和72只猫进行手术治疗的结果。49只犬中有46只完全康复，3只死亡。72只猫中有10只死亡，62只康复。基于这些数据的比较以及文献中使用腹部手术方法的报告，我们认为对于这类患者，开胸手术优于腹部手术。
