Bredal W P, Eggertsdóttir A V, Austefjord O
Department of Small Animal Clinical Sciences, Norwegian College of Veterinary Medicine, Oslo, Norway.
Acta Vet Scand. 1996;37(4):445-51. doi: 10.1186/BF03548084.
Acute gastric dilatation (AGD) is a well-known, acute, life-threatening disease in dogs but its feline counterpart is much less known. This paper provides descriptions of 2 cases of AGD in cats that the authors have seen. Including these a total of 10 cases of feline AGD have been reported. No breed or sex predilection was found among the cases. Age distribution ranged from 11 weeks to 13 years. All 10 cats with AGD had enlarged abdomens on presentation. In 3 of the cases this was the only presenting sign and all 3 were simple, uncomplicated gastric dilatations, that were easily corrected by gastric decompression. Four of the 10 cats with AGD had dyspnea in addition to enlarged abdomens and only one of these cats survived, suggesting that this combination of clinical signs might indicate a guarded prognosis. Five out of the 10 cats with AGD had gastric torsion, 2 of these with concomitant diaphragmatic hernia. Four of the 5 cats with gastric torsion survived after appropriate surgery. Diaphragmatic hernia was a concurrent condition in 3 cats with signs of AGD. A mortality of 30% was observed in cats with AGD. Treatment was successful in 7 out of 10 cases and consisted of shock therapy combined with gastric decompression or surgery. Prognosis seems favorable once the initial acute stage has been overcome. Recurrence has only been recorded in one cat. Conclusions drawn from the available material are: 1) clinical signs and therapeutical management of AGD are similar in cats and dogs, 2) the age of the patients seem to differ between feline and canine AGD, 3) more information is needed to fully assess the prognosis and recurrence rate of feline AGD.
急性胃扩张（AGD）是犬类中一种广为人知的急性危及生命的疾病，但其在猫科动物中的情况却鲜为人知。本文描述了作者所见到的2例猫急性胃扩张病例。包括这2例在内，总共已报道了10例猫急性胃扩张病例。这些病例中未发现品种或性别倾向。年龄分布范围从11周龄至13岁。所有10只患有急性胃扩张的猫在就诊时腹部均增大。其中3例这是唯一的临床表现，且均为单纯、无并发症的胃扩张，通过胃减压很容易得到纠正。10只患有急性胃扩张的猫中有4只除腹部增大外还伴有呼吸困难，其中只有1只存活，这表明这种临床症状组合可能预示预后不佳。10只患有急性胃扩张的猫中有5只发生了胃扭转，其中2只伴有膈疝。5只发生胃扭转的猫中有4只在进行适当手术后存活。膈疝是3只有急性胃扩张症状的猫的并发疾病。急性胃扩张的猫的死亡率为30%。10例中有7例治疗成功，治疗方法包括抗休克治疗联合胃减压或手术。一旦度过最初的急性期，预后似乎良好。仅1只猫有复发记录。根据现有资料得出的结论是：1）猫和犬急性胃扩张的临床症状和治疗管理相似；2）猫和犬急性胃扩张患者的年龄似乎有所不同；3）需要更多信息来全面评估猫急性胃扩张的预后和复发率。
