Pleural Effusion
Pleural effusion
Juga dikenali sebagai: Hydrothorax, Pleural fluid
Ringkasnya
Pleural effusion is a life-threatening accumulation of fluid around the lungs in dogs and cats. Recognizing signs like rapid breathing, increased effort, or an abnormal "paradoxical" breathing pattern is critical for seeking immediate veterinary emergency care.
TL;DR. Pengumpulan cecair di sekeliling paru-paru yang mengehadkan pernafasan; kecemasan yang memerlukan saliran dan rawatan punca.
Cecair menekan paru-paru dan menghalang pengembangan penuh.
Apakah itu?
Cecair abnormal dalam rongga pleural. Diklasifikasikan sebagai transudat tulen/diubah suai dan eksudat mengikut protein dan sel. Tanda penyakit asas, bukan penyakit tunggal.
Punca dan faktor risiko
Kegagalan jantung, piotoraks, neoplasia, chylothorax, hemothorax (trauma/racun tikus), FIP pada kucing.
Tanda
- Takipnea, usaha nafas, sesak
- Bunyi jantung dan paru redup
- Pernafasan paradoks, intolerans senaman, lethargi
- Gusi pucat atau sianotik dalam kes teruk
Pernafasan abdomen ketara ialah tanda utama.
Diagnosis
Pemeriksaan, torakosentesis, analisis cecair (standard emas), radiograf/ultrasound selepas stabil; CT atau pembedahan jika perlu.
Torakosentesis melegakan nafas dan memberi sampel diagnostik.
Rawatan
Saliran kecemasan + oksigen. Mengikut punca: tiub/antibiotik (piotoraks), ubat jantung/diuretik, diet sangat rendah lemak/pembedahan (chylothorax), paliatif (neoplasia), pembedahan (trauma).
Prognosis
Bergantung punca: piotoraks baik hingga cemerlang; neoplasia sering lemah; jantung/chylothorax berhati-hati hingga sederhana.
Pencegahan
Pemeriksaan berkala, kucing di dalam, elak rumput berbulir, jangan abaikan perubahan nafas.
Bila hubungi doktor haiwan
Kecemasan jika nafas mulut terbuka, >40 nafas/min rehat, nafas abdomen, membran abnormal atau kolaps.
Sumber
- Internal Medicine, 5th Edition, pages 371, 372.
- Small Animal Critical Care Medicine, 2nd Edition, page 179.
- Current Techniques in Small Animal Surgery, 5th Edition, page 692.
My highlights & notes
Tanda & simptom
Cara didiagnosis
- Pleural fluid cytology and analysisStandard emas
- Computed Tomography (CT)
- Magnetic resonance imaging (MRI)
- Thoracic radiography
- Thoracic ultrasonography
- Thoracocentesis
- Thoracoscopy
- Thoracotomy
Soalan lazim
What is Pleural Effusion?
Pleural effusion is a life-threatening accumulation of fluid around the lungs in dogs and cats. Recognizing signs like rapid breathing, increased effort, or an abnormal "paradoxical" breathing pattern is critical for seeking immediate veterinary emergency care.
What are the symptoms of Pleural Effusion?
Difficulty breathing (dyspnea)、Increased breathing effort、Muffled heart sounds、Muffled lung sounds、Fast breathing、Irregular heartbeat、Breath holding breathing pattern、Cardiac murmurs
How is Pleural Effusion diagnosed?
Pleural fluid cytology and analysis、Computed Tomography (CT)、Magnetic resonance imaging (MRI)、Thoracic radiography、Thoracic ultrasonography、Thoracocentesis
Sumber
- Internal Medicine 5th · p. 371
- Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 179
- Internal Medicine 5th · p. 372
- Internal Medicine 5th · p. 371
- Current Techniques in Small Animal Surgery, 5th Edition (VetBooks.ir) · p. 692
Artikel ini untuk pendidikan umum dan bukan pengganti nasihat doktor haiwan. Jika haiwan sakit, rujuk doktor haiwan.
Bimbang tentang haiwan kesayangan?
AI Peqaboo membantu jejak simptom, faham laporan makmal dan tahu bila jumpa doktor haiwan.
Muat turun app Peqaboo