Glaus T M, Jacobs G J, Rawlings C A, Watson E D, Calvert C A
Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens 30602, USA.
J Am Vet Med Assoc. 1995 Mar 1;206(5):663-6.
Caval syndrome was diagnosed in a 4-year-old male domestic shorthair cat with severe dyspnea attributable to chylothorax. The diagnosis of heartworm infection was made on the basis of the ultrasonographic detection of a large number of adult heartworms in the right side of the heart and positive results for modified Knott's and heartworm antigen tests. Heartworms were surgically removed through an incision in the jugular vein, using a string-type horsehair brush and an alligator forceps. All clinical signs resolved after the surgery. Although treatment with agents that would kill the adult heartworms was considered, surgical treatment was used on the cat reported here. Surgical treatment may be the method of choice for use in cats with severe or persistent clinical signs attributable to infections with large numbers of heartworms.
一只4岁的雄性家养短毛猫因乳糜胸出现严重呼吸困难，被诊断为腔静脉综合征。根据超声检查在心脏右侧发现大量成年心丝虫以及改良 Knott 氏试验和心丝虫抗原检测呈阳性结果，确诊为心丝虫感染。通过颈静脉切口，使用串式马毛刷和鳄嘴钳手术摘除心丝虫。术后所有临床症状均消失。虽然考虑过使用能杀死成年心丝虫的药物进行治疗，但此处报告的这只猫采用了手术治疗。对于因大量心丝虫感染而出现严重或持续临床症状的猫，手术治疗可能是首选方法。
