猫颈食道切开术取出异物1例报告

A. Neamţu, L. Burtan, D. Drugociu
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引用次数: 0

摘要

食道异物是小动物,尤其是食肉动物发病和死亡的重要原因。由于可能出现穿孔或气管受压等并发症,患者可能出现上呼吸道阻塞,这可能成为医疗紧急情况。在这里,我们描述一个罕见的情况下,一个大的颈部异物在猫和回顾诊断和治疗的方法,这种情况。一只4岁的母猫因呼吸困难、吞咽困难和反流的症状被转介到我们的诊所。病史和临床检查提示食道异物,随后x线片证实。由于异物的形状和位置不允许内镜取出,我们通过腹侧颈食管造口术将其取出。由于异物的位置和体积较大,需要在不损伤食管壁的情况下将异物撕成两段进行完全取出。患者无术后并发症,术后7天出院。在这种情况下,早期诊断,随后立即进行手术修复和严格的术后护理,与患者的康复和生存相关,对于降低通常相关的高发病率和死亡率至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CERVICAL OESOPHAGOTOMY IN A CAT FOR FOREIGN BODY REMOVAL - CASE REPORT
Oesophageal foreign bodies are a significant cause of morbidity and mortality in small animals, especially in carnivores. Due to the possibility of complications such as perforation or tracheal compression, the patient may present an upper airway obstruction, which might become a medical emergency. Here, we describe a rare case of a large cervical foreign object in a cat and review the diagnostic and therapeutic approach of this condition. A 4-year-old female cat was referred to our clinic with signs of dyspnoea, dysphagia and regurgitation. The history and clinical exam suggested an oesophageal foreign body, subsequently radiographically confirmed. Because its shape and position did not allow endoscopic extraction, the foreign body was removed via ventral cervical oesophagostomy. Due to its location and large size, it was necessary to fragment the foreign body into two pieces for complete extraction without injuring the oesophageal walls. The patient had no postoperative complications and was discharged 7 days after surgery. In this condition, an early diagnosis, followed by an immediate surgical repair and a rigorous postoperative care, correlates with patient recovery and survival, being crucial in reducing the high morbidity and mortality rates that are usually associated.
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