柯基犬和波美拉尼亚犬动脉导管开放性的诊断和手术治疗

A. Trunov, R. R. Kadyrov, V. Videnin
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摘要

本文以柯基犬和斯皮兹犬为例,介绍了一项临床和实验研究的结果,以确定手术治疗动物动脉导管未闭的临床效果。回顾性研究,评估手术前后心血管系统的形态功能状态。总样本由25只动物组成。该缺陷的诊断是通过听诊和超声心动图[超声]进行的。听诊时,可听到收缩期-舒张期杂音。在超声方面,比较手术前后归一化参数。有严重肺动脉高压的动物被排除在研究之外,因为这种并发症是手术治疗的禁忌症。术后,开放性修复的动物比血管内治疗的动物恢复时间更长,需要更长时间的镇痛。开胸开放治疗后,动物在重症监护室呆了一天,经导管手术后- 6-12小时。之后,所有动物出院接受门诊治疗。关闭导管后,所有先天性缺陷犬都变得更加活跃,一般情况有所改善,体力活动时呼吸短促消失,呼吸频率明显下降。人们发现柯基犬比斯皮兹犬更难忍受这种缺陷。他们有更常见的肺动脉高压并发症。术后1年行超声心动图时,心脏形态功能状态指标归一化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Diagnosis and surgical treatment open ductus arteriosus in corgi and pomeranian dogs
The paper presents the results of a clinical and experimental study of determining the clinical effectiveness of surgical treatment of animals with patent ductus arteriosus using open ligation and endovascular occlusion using the example of dogs of the Corgi and Spitz breeds. A retrospective study, the morphofunctional state of the cardiovascular system was assessed before and after surgery. The total sample consisted of 25 animals. Diagnosis of this defect was carried out by auscultation and using echocardiography [ultrasound]. During auscultation, a systolic-diastolic murmur is heard. On ultrasound, the normalized parameters were compared before and after surgery. Animals with critical pulmonary hypertension were excluded from the study, since this complication is a contraindication for surgical treatment. In the postoperative period, the animals after open correction of the defect recovered longer and needed more prolonged analgesia than animals after endovascular treatment. After open treatment with thoracotomy, the animals were in the intensive care unit for a day, and after transcatheter surgery - 6-12 hours. After that, all animals were discharged for outpatient treatment. After closure of the duct, all dogs with a congenital defect became more active, their general condition improved, shortness of breath during physical exertion disappeared, and the respiratory rate decreased significantly. It was found that corgi are more difficult to tolerate this defect than Spitz dogs. They had a more frequent complication in the form of pulmonary hypertension. One year after the surgical treatment, when performing echocardiography, the indicators of the morphofunctional state of the heart were normalized.
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