成功使用皮下导管治疗犬喉挤压伤和气管造口管置入后的严重皮下气肿。

IF 1.1 3区农林科学 Q3 VETERINARY SCIENCES

Journal of veterinary emergency and critical care Pub Date : 2023-10-04 DOI:10.1111/vec.13322

Maude Poirier DVM, DACVECC, Rebecca A. L. Walton DVM, DACVECC

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引用次数: 0

摘要

目的：描述在犬体内放置皮下导管治疗严重喉头挤压伤继发的严重皮下气肿和临时气管造口管放置。案例摘要：一名6岁的雄性绝育Kelpie在一次狗袭击后遭受了严重的喉部挤压伤。病例管理包括由于严重的呼吸系统损害和与挤压伤相关的吸气性呼吸困难而放置临时气管造口管。在住院期间，患者出现了严重的皮下气肿、纵隔气肿和作为喉头挤压伤和临时气管造口术并发症的肺气肿。在气管造口术吻合口愈合的同时，放置皮下导管治疗复发性皮下气肿。创伤后五个月，这只狗恢复了正常，在兴奋和喘息时有轻微的跨步。提供的新的或独特的信息：这是兽医学上第一份描述使用皮下导管治疗喉挤压伤和临时气管造口管放置引起的皮下肺气肿的报告。

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The successful use of a subcutaneous catheter in the management of severe subcutaneous emphysema in a dog with laryngeal crush injury and tracheostomy tube placement

Objective

To describe the placement of a subcutaneous catheter in a dog for the management of severe subcutaneous emphysema secondary to severe laryngeal crushing injury and temporary tracheostomy tube placement.

Case Summary

A 6-year-old male neutered Kelpie suffered a severe laryngeal crushing injury following a dog attack. Case management included the placement of a temporary tracheostomy tube due to severe respiratory compromise and inspiratory dyspnea associated with the crush injury. During hospitalization, the patient developed severe subcutaneous emphysema, pneumomediastinum, and a pneumothorax as a complication of the laryngeal crushing injury and temporary tracheostomy. A subcutaneous catheter was placed to manage the recurrent subcutaneous emphysema while the tracheostomy stoma healed. Five months posttrauma, the dog returned to normal with mild stridor during excitement and while panting.

New or Unique Information Provided

This is the first report in veterinary medicine describing the use of a subcutaneous catheter for the management of subcutaneous emphysema secondary to laryngeal crush injury and temporary tracheostomy tube placement.

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来源期刊

Journal of veterinary emergency and critical care 农林科学-兽医学

CiteScore

2.50

自引率

15.40%

发文量

121

审稿时长

18-36 weeks

期刊介绍： The Journal of Veterinary Emergency and Critical Care’s primary aim is to advance the international clinical standard of care for emergency/critical care patients of all species. The journal’s content is relevant to specialist and non-specialist veterinarians practicing emergency/critical care medicine. The journal achieves it aims by publishing descriptions of unique presentation or management; retrospective and prospective evaluations of prognosis, novel diagnosis, or therapy; translational basic science studies with clinical relevance; in depth reviews of pertinent topics; topical news and letters; and regular themed issues. The journal is the official publication of the Veterinary Emergency and Critical Care Society, the American College of Veterinary Emergency and Critical Care, the European Veterinary Emergency and Critical Care Society, and the European College of Veterinary Emergency and Critical Care. It is a bimonthly publication with international impact and adheres to currently accepted ethical standards.