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Aspiration Pneumonia

Også kendt som: Aspiration pneumonitis

CatDogHastighed: EmergencyHvor almindeligt: Common

Kort sagt

Aspiration pneumonia is a serious, life-threatening lung infection in dogs and cats caused by inhaling foreign material like food or stomach acid. Learn the symptoms, risk factors, and treatment options.

Anatomical diagram of a dog's respiratory tract showing where aspiration occurs.
Aspiration occurs when foreign material bypasses the larynx and enters the lungs, causing severe inflammation.

TL;DR. Alvorlig lungeinfektion efter indånding af mad, opkast eller mavesyre; øjeblikkelig hjælp.

Fremmed materiale passerer strubehovedet og betænder lungen kraftigt.

Hvad er det?

Chemical pneumonitis plus often bacterial pneumonia after inhaling food, vomit, or gastric acid. Airway protection fails (GI disease, neurology, larynx, anesthesia).

Årsager og risikofaktorer

Almost always secondary. GI disorders >60% (megaesophagus ~26% leading). Neurologic ~18%, laryngeal ~13%; often multiple factors including recent anesthesia. Periodontal disease raises bacterial load.

Tegn at holde øje med

  • Cough, respiratory distress, lethargy, fever, hypoxemia, crackles (common)
  • Cyanosis, collapse, regurgitation, shock (occasional)

A dog showing signs of respiratory distress with an extended neck and flared elbows.
Ortopnøstilling: strakt hals letter vejrtrækningen.

Hvordan dyrlæger diagnosticerer

Auscultation (may be normal), thoracic radiographs (often right middle lobe), SpO₂, arterial blood gas, tracheal wash/culture, bronchoscopy if needed.

Behandlingsmuligheder

Oxygen, IV fluids. Broad-spectrum antibiotics culture-guided. Glucocorticoids only with extreme caution for pure chemical pneumonitis. Nebulization and coupage when stable.

Prognose

Favorable with early aggressive care (survival ~77–82% in referral settings); worse with ARDS/ventilation. Recurrence if cause uncontrolled.

Forebyggelse

Megaesophagus: upright feeding. Pre-anesthetic fasting. Dental care. Investigate vomiting/regurgitation early.

Hvornår ringe til dyrlægen

Grade-5 emergency: severe dyspnea, moist cough, blue mucous membranes, collapse, fever with apathy.

Kilder

  • Internal Medicine, 5th Edition, pages 357, 358.
  • Small Animal Critical Care Medicine, 2nd Edition, pages 151, 152.

My highlights & notes

Tegn og symptomer

Hvordan det diagnosticeres

  • Arterial blood gas analysis
  • Bronchoscopy
  • Pulse Oximetry
  • Thoracic radiography
  • Tracheal wash

Behandlingsmetoder

Behandling skal ordineres af en autoriseret dyrlæge. Specifikke doser vises bevidst ikke.

Ofte stillede spørgsmål

What is Aspiration Pneumonia?

Aspiration pneumonia is a serious, life-threatening lung infection in dogs and cats caused by inhaling foreign material like food or stomach acid. Learn the symptoms, risk factors, and treatment options.

What are the symptoms of Aspiration Pneumonia?

Abnormal lung sounds、Loss of appetite、Cough、Crackles、Low mood and dullness、Low blood oxygen、Lethargy、Pyrexia

How is Aspiration Pneumonia diagnosed?

Arterial blood gas analysis、Bronchoscopy、Pulse Oximetry、Thoracic radiography、Tracheal wash

How is Aspiration Pneumonia treated?

Behandling skal ordineres af en autoriseret dyrlæge. Specifikke doser vises bevidst ikke.

Kilder

  1. Internal Medicine 5th · p. 358
  2. Internal Medicine 5th · p. 357
  3. Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 151
  4. Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 152

Artiklen er generel oplysning og erstatter ikke dyrlægeråd. Hvis dyret er sygt, kontakt en dyrlæge.

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