猫和狗的下泌尿道破裂,严重的重创伤后
Bgrm Godart1, Gcmj Bonnel1, A-S Bedu2
1Department of Small Animal Surgery, Centre Hospitalier Vétérinaire Pommery, Reims, France.
New Zealand veterinary journal
|September 15, 2024
概括
下尿道破裂发生在1.36%的受伤的猫和狗中. 骨盆骨折增加了破裂的风险,但LUT破裂可以发生在没有骨折或有尿能力的情况下.
科学领域:
- 兽医外科 兽医外科 兽医外科
- 紧急和重症监护服务
- 诊断成像 诊断成像 诊断成像
背景情况:
- 车辆创伤和跌倒是物受伤的常见原因.
- 下泌尿道 (LUT) 破裂是一种严重的并发症,需要及时诊断和治疗.
- 确定LUT破裂的风险因素和诊断指标对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定猫和狗在重创伤后下泌尿道破裂 (LUT) 的患病率.
- 调查LUT破裂和骨盆骨折之间的关联.
- 确定与受影响动物LUT破裂相关的临床和诊断发现.
主要方法:
- 追溯查医疗记录从猫和狗接受车辆创伤或跌倒.
- 数据提取包括信号,伤害,诊断成像 (包括腹部集中评估与创伤声学 - FAST) 和血液检测结果.
- 统计分析以确定LUT破裂的流行率及其与骨盆骨折的关联.
主要成果:
- 整体LUT断裂的患病率为1.36% (8/585只动物).
- 骨盆骨折的动物明显更有可能经历LUT破裂 (OR 6.4).
- 三例LUT破裂发生在没有相关的骨科损伤的情况下,四名患者保持了排尿的能力.
结论:
- 在所有创伤患者中,即使没有骨盆骨折或动物可以排尿,也应该考虑下泌尿道 (LUT) 破裂.
- 通过FAST识别的腹部液体是LUT破裂的一致发现.
- 迅速识别和管理LUT破裂对于改善创伤动物的生存率至关重要.
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