在一只狗的食道 - 大动脉鱼提取后致命的大动脉出血
Ruby K Hornsby1, Elroy V Williams1, Matthew D Johnson1
1Western College of Veterinary Medicine, University of Saskatchewan, Saskatoon, Saskatchewan (Hornsby, Williams); Small Animal Clinical Sciences, Surgery Department, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA (Johnson).
The Canadian veterinary journal = La revue veterinaire canadienne
|February 20, 2026
概括
一只带有食道鱼外体的狗死于由于下降胸前动脉中血栓失效而导致的流血. 这突出了鱼外体对大动脉损伤的风险,以及需要谨慎的提取技术.
科学领域:
- 兽医外科 兽医外科 兽医外科
- 胸部外科手术 胸部外科手术
- 胃肠内镜检查 胃肠内镜检查
背景情况:
- 食道外体对狗患者构成重大风险.
- 鱼外体具有独特的挑战,因为它们具有刺刺的性质和深层组织透的潜力.
- 透至关重要的胸部结构,如下降性大动脉,可以导致危及生命的出血.
研究的目的:
- 报告一例玩具柴犬与鱼外体穿透食道和下降大动脉的情况.
- 讨论与这种罕见伤害相关的手术管理和并发症.
- 为了强调谨慎的提取技术在预防致命出血的重要性.
主要方法:
- 一只3.5岁的玩具柴犬被诊断为食道鱼外体,接受了诊断成像.
- 通过侧侧胸切除术和辅助食道内镜进行了手术干预以提取.
- 试图用血栓进行静血,并通过内镜修复食道缺陷.
- 手术后的管理包括过氧酸和血输血.
主要成果:
- 发现鱼已经穿透了食道,并入下降性大动脉.
- 手动提取导致严重出血,需要输血.
- 血栓被应用于大动脉,并修复了食道缺陷.
- 尽管进行了干预,但由于血脱落而导致狗患有渐进性出血,并在安乐死前脱血.
- 尸检证实血脱落是死亡的原因.
结论:
- 仅仅依靠血栓来控制下降胸前大动脉出血可能是不够的.
- 成功管理食道 - 大动脉鱼损伤需要仔细考虑提取序列和方向.
- 建议进行常态移除,以尽量减少大动脉壁损伤并促进初级修复.
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