Lees G E, Suter P F, Johnson G C
J Am Vet Med Assoc. 1978 Mar 15;172(6):690-6.
Acute pancreatitis and cardiac disease were diagnosed in a dog with pulmonary edema. The early clinical course and initial thoracic radiographs suggested that the pulmonary edema was noncardiogenic. The late clinical course was complicated by heart failure. The dog died, and a necropsy was performed. Histologically, an acute, severe capillary-alveolar membrane lesion was found in the lungs. Review of the human medical literature indicated that respiratory complications, including pulmonary edema, are commonly recognized in people with acute pancreatitis. Furthermore, in acute pancreatitis of human beings, the existence of specific mechanisms of pulmonary injury is suspected. Retrospective consideration of this case suggested that the initial pulmonary edema was induced by acute pancreatitis.
一只患有肺水肿的犬被诊断出患有急性胰腺炎和心脏病。早期临床病程及最初的胸部X光片显示肺水肿为非心源性。后期临床病程因心力衰竭而复杂化。该犬死亡并进行了尸检。组织学检查发现肺部有急性、严重的毛细血管-肺泡膜病变。查阅人类医学文献表明,包括肺水肿在内的呼吸系统并发症在急性胰腺炎患者中很常见。此外,怀疑人类急性胰腺炎中存在特定的肺损伤机制。对该病例的回顾性分析表明,最初的肺水肿是由急性胰腺炎引起的。