Griffiths L G, Sullivan M, Lerche P
Department of Veterinary Clinical Studies, Glasgow University Veterinary School, Bearsden.
Vet Rec. 1998 Jun 20;142(25):693-6. doi: 10.1136/vr.142.25.693.
A case of tracheal avulsion with pneumomediastinum and pseudodiverticulum formation in a cat is described. Radiographs taken at initial presentation showed a pneumomediastinum with fractures of the right first to sixth ribs. Conservative treatment resolved the pneumomediastinum but following initial improvement the cat developed dyspnoea. Radiography and image intensification at this time showed a tracheal diverticulum at the level of the fourth rib. Surgical resection of the diverticulum and stenotic tracheal ends was performed via a right fourth intercostal lateral thoracotomy. The airway was maintained throughout the procedure using a bridging endotracheal tube. The cat made an unremarkable recovery following surgery.
本文描述了一例猫发生气管撕裂并伴有纵隔气肿和假性憩室形成的病例。初次就诊时拍摄的X光片显示纵隔气肿以及右侧第一至第六肋骨骨折。保守治疗使纵隔气肿得到缓解，但在最初症状改善后，这只猫出现了呼吸困难。此时的X光检查和影像增强显示在第四肋骨水平有一个气管憩室。通过右侧第四肋间外侧开胸术对憩室和狭窄的气管末端进行了手术切除。在整个手术过程中使用桥接气管插管维持气道通畅。这只猫术后恢复情况良好。
