Fullington R J, Otto C M
Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia 19104, USA.
J Am Vet Med Assoc. 1997 Mar 1;210(5):658-62.
To determine history, signalment, physical examination findings, treatment, complications, outcome, and prognostic indicators of dogs and cats treated for gunshot wounds at an urban veterinary referral hospital.
Retrospective study.
82 dogs and 2 cats.
Young (< 3 years old) sexually intact males were overrepresented. Of the 122 injuries, 52 were to limbs (23/52 were associated with fractures), 32 involved the thorax, 14 involved the abdomen, 14 involved the head, 6 involved the neck, and 4 involved the vertebral column. Seven animals were euthanatized because of financial concerns. Of the remaining 77, 11 died and 66 were discharged from the hospital. Conservative treatment was adequate for animals with limb injuries not associated with a fracture. However, animals with evidence of peritoneal penetration required an exploratory laparotomy. Animals with thoracic injuries usually could be managed with conservative treatment or thoracocentesis. Only 1 animal underwent thoracotomy. Wound infection developed in 4 animals. Initial treatment of animals with gunshot wounds should include administration of antibiotics effective against gram-positive and -negative bacteria.
Most dogs with gunshot wounds that receive adequate treatment can be expected to survive. However, dogs with vertebral column or abdominal wounds may have a worse prognosis than dogs with thoracic or limb injuries.
确定在一家城市兽医转诊医院接受枪伤治疗的犬猫的病史、体征、体格检查结果、治疗方法、并发症、结局及预后指标。
回顾性研究。
82只犬和2只猫。
年轻(<3岁)未绝育雄性动物占比过高。在122处损伤中,52处为四肢损伤(其中23处伴有骨折),32处涉及胸部,14处涉及腹部,14处涉及头部,6处涉及颈部,4处涉及脊柱。7只动物因经济原因实施安乐死。其余77只中,11只死亡,66只出院。对于未伴有骨折的四肢损伤动物,保守治疗足够。然而,有腹膜穿透迹象的动物需要进行剖腹探查术。胸部损伤的动物通常可通过保守治疗或胸腔穿刺术处理。仅1只动物接受了开胸手术。4只动物发生伤口感染。枪伤动物的初始治疗应包括使用对革兰氏阳性菌和阴性菌均有效的抗生素。
大多数接受充分治疗的枪伤犬有望存活。然而,脊柱或腹部受伤的犬预后可能比胸部或四肢受伤的犬更差。