Aspiration Pneumonia
Juga dikenali sebagai: Aspiration pneumonitis
Ringkasnya
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.
TL;DR. Jangkitan paru-paru serius selepas menyedut makanan, muntah atau asid gastrik; rawatan segera.
Bahan asing melepasi laring dan meradangkan paru-paru dengan teruk.
Apakah itu?
Chemical pneumonitis plus often bacterial pneumonia after inhaling food, vomit, or gastric acid. Airway protection fails (GI disease, neurology, larynx, anesthesia).
Punca dan faktor risiko
Almost always secondary. GI disorders >60% (megaesophagus ~26% leading). Neurologic ~18%, laryngeal ~13%; often multiple factors including recent anesthesia. Periodontal disease raises bacterial load.
Tanda yang perlu diperhatikan
- Cough, respiratory distress, lethargy, fever, hypoxemia, crackles (common)
- Cyanosis, collapse, regurgitation, shock (occasional)
Postur ortopnea: leher terjulur memudahkan pernafasan.
Bagaimana doktor haiwan mendiagnosis
Auscultation (may be normal), thoracic radiographs (often right middle lobe), SpO₂, arterial blood gas, tracheal wash/culture, bronchoscopy if needed.
Pilihan rawatan
Oxygen, IV fluids. Broad-spectrum antibiotics culture-guided. Glucocorticoids only with extreme caution for pure chemical pneumonitis. Nebulization and coupage when stable.
Prognosis
Favorable with early aggressive care (survival ~77–82% in referral settings); worse with ARDS/ventilation. Recurrence if cause uncontrolled.
Pencegahan
Megaesophagus: upright feeding. Pre-anesthetic fasting. Dental care. Investigate vomiting/regurgitation early.
Bila menghubungi doktor haiwan
Grade-5 emergency: severe dyspnea, moist cough, blue mucous membranes, collapse, fever with apathy.
Sumber
- Internal Medicine, 5th Edition, pages 357, 358.
- Small Animal Critical Care Medicine, 2nd Edition, pages 151, 152.
My highlights & notes
Tanda & simptom
Cara didiagnosis
- Arterial blood gas analysis
- Bronchoscopy
- Pulse Oximetry
- Thoracic radiography
- Tracheal wash
Pendekatan rawatan
Rawatan mesti dipreskripsikan doktor haiwan berlesen. Dos khusus sengaja tidak dipaparkan.
Soalan lazim
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?
Rawatan mesti dipreskripsikan doktor haiwan berlesen. Dos khusus sengaja tidak dipaparkan.
Sumber
- Internal Medicine 5th · p. 358
- Internal Medicine 5th · p. 357
- Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 151
- Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 152
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