Pulmonary Edema
Juga dikenali sebagai: Pulmonary Oedema, High-pressure edema, Increased-permeability edema
Ringkasnya
Pulmonary edema is a life-threatening veterinary emergency where fluid accumulates in the lungs of dogs and cats. This comprehensive guide covers the differences between cardiogenic and noncardiogenic forms, critical symptoms to watch for, diagnostic procedures, and advanced treatment options.
TL;DR. Kecemasan di mana cecair memenuhi paru-paru; intervensi segera untuk memulihkan oksigen dan merawat punca.
Terapi oksigen ialah langkah penstabilan pertama dan kritikal.
Apakah ia?
Pengumpulan cecair dalam tisu dan alveolus. Kardiogenik (tekanan tinggi, kegagalan kiri) atau bukan kardiogenik (ketelapan meningkat akibat keradangan, toksin atau trauma). Mengurangkan pertukaran oksigen.
Punca dan faktor risiko
Kardiogenik: penyakit injap/DCM pada anjing, HCM pada kucing. Bukan kardiogenik: trauma, kejutan elektrik, hampir lemas, asap, obstruksi saluran atas, keradangan teruk/ARDS. Baka risiko jantung: Cavalier, Dobermann.
"The overall clinical picture can be exacerbated by concurrent underlying cardiac or other respiratory disease."
Tanda
- Distres pernafasan (kardinal)
- Takipnea rehat, sering >30–40/min
- Batuk (lebih lazim pada anjing)
- Membran mukus pucat/kebiruan, krepitasi
- Buih berdarah, ortopnea (kadang-kadang)
Postur ortopnea: leher dilanjutkan dan siku terbuka.
Diagnostik
Stabilkan dulu. X-ray toraks, ekokardiografi (bezakan kardiogenik), oksimetri/gas darah, albumin.
X-ray menunjukkan corak dan keparahan cecair.
Rawatan
Oksigen, kurangkan stres, furosemid, vasodilator jika kardiogenik. Elak dehidrasi dan hipovolemia.
Prognosis
Bukan kardiogenik: sering baik selepas krisis. Kardiogenik: jangka pendek diterima; jangka panjang berjaga-jaga. ARDS: sangat buruk.
Pencegahan
Urus penyakit jantung, ukur kadar nafas rehat, lindungi wayar, awasi renang, elak asap/toksin.
Bila hubungi doktor haiwan
Kecemasan jika sukar bernafas, nafas mulut (kucing), >40 nafas/min rehat, batuk berterusan, atau membran pucat/kebiruan.
Sumber
- Small Animal Internal Medicine (5th ed.), pages 368, 369.
- Small Animal Critical Care Medicine (2nd ed.), pages 138, 142.
My highlights & notes
Tanda & simptom
Cara didiagnosis
- Arterial blood gas analysis
- Echocardiography
- Pulse Oximetry
- Serum albumin concentration
- Thoracic radiography
Pendekatan rawatan
Rawatan mesti dipreskripsikan doktor haiwan berlesen. Dos khusus sengaja tidak dipaparkan.
Soalan lazim
What is Pulmonary Edema?
Pulmonary edema is a life-threatening veterinary emergency where fluid accumulates in the lungs of dogs and cats. This comprehensive guide covers the differences between cardiogenic and noncardiogenic forms, critical symptoms to watch for, diagnostic procedures, and advanced treatment options.
What are the symptoms of Pulmonary Edema?
Difficulty breathing、Cough、Crackles on auscultation、Low blood oxygen、Fast breathing、Blood-tinged froth、Tiring easily during activity、orthopnea
How is Pulmonary Edema diagnosed?
Arterial blood gas analysis、Echocardiography、Pulse Oximetry、Serum albumin concentration、Thoracic radiography
How is Pulmonary Edema treated?
Rawatan mesti dipreskripsikan doktor haiwan berlesen. Dos khusus sengaja tidak dipaparkan.
Sumber
- Internal Medicine 5th · p. 369
- Internal Medicine 5th · p. 369
- Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 142
- Internal Medicine 5th · p. 368
- Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 138
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