尼日利亚犬食道横断吻合术后早期咽造口营养与静脉输液的临床效果比较

J. Omamegbe, U. Njoku, S. E. Ibup
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摘要

采用12只成年尼日利亚犬,比较在食管横断吻合术(OTA)后最初14天内,通过咽造口管(PGTs)喂养与静脉输注(乳酸林格斯酸盐与5%葡萄糖生理盐水以50:50的比例混合)喂养的犬的临床反应。将试验犬分为两组(n=6):咽造瘘管组(PGT)和静脉输液组(IVF) (n=6)。两组狗均接受常规OTA治疗。PGT组通过PGT连续14天喂食70g/kg体重的焯过的加工狗粮,IVF组术后也维持每天70ml /kg体重的静脉输液。两组术后并发症观察结果显示,IVF组死亡率(83.3%)显著高于PGT组(16.7%)(P < 0.05)。两组间食管吻合部位的呕吐和渗漏无显著差异。IVF组有2只犬出现宫颈肿胀(33.3%),PGT组有66.6%的犬出现宫颈下坠和输卵管移位(100%)。综上所述,术后立即通过pgt喂养行OTA的犬,可降低其发病率和死亡率;与仅靠静脉输液维持的同类狗相比,它的恢复期缩短了。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparative Clinical Effects of Early Pharyngostomy Alimentation and Intravenous Fluid Infusion following Oesophageal Transection and Anastomosis in Nigerian Breeds of Dogs
Twelve adult Nigerian breeds of dogs were used to compare the clinical responses of dogs alimented through pharyngostomy tubes (PGTs) with those maintained on intravenous infusion (50:50 mixture of Ringers lactate and 5% dextrose saline) during the first 14 days following oesophageal transection and anastomosis (OTA). The dogs were assigned to two groups (n=6), the pharyngostomy tube (PGT) group and the intravenous fluid infusion (IVF) group (n=6). Dogs in both groups underwent routine OTA. The PGT group was fed blanched processed dog food at 70g/kg body weight for 14 days through PGTs, while the IVF group was maintained on intravenous fluids at a dose of 70 mL/kg body weight daily also for 14 days post operatively. The postoperative complications observed in both groups showed that the mortality rate in the IVF group (83.3%) was significantly (P < 0.05) higher than in the PGT group (16.7%). Vomiting and leakages at the site of oesophageal anastomosis did not differ significantly between the groups. Cervical swelling was observed in two dogs (33.3%) in the IVF group, while tenesmus and displacement of the tubes were recorded in 66.6% and 100% respectively of the dogs in the PGT group. It is concluded that feeding dogs which had undergone OTA through PGTs during the immediate postoperative period reduces their morbidity and mortality; and shortens the recovery period when compared with similar dogs maintained solely on intravenous fluids.
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