Pyothorax
Ringkasnya
Pyothorax is a life-threatening accumulation of pus in the chest cavity of dogs and cats. Learn to recognize the signs of this respiratory emergency, how vets diagnose it, and the aggressive treatments needed to save your pet's life.
TL;DR. Nanah di rongga pleural, kecemasan mengancam nyawa; perlukan rawatan veterinar agresif segera.
Nanah berjangkit terkumpul dalam ruang pleural sempit di sekeliling paru-paru.
Apakah ini?
Eksudat septik dalam rongga pleural. Isipadu menekan paru-paru dan menyebabkan sesak nafas. Keradangan sistemik dan sepsis mungkin. Keutamaan tertinggi.
Punca dan faktor risiko
Kucing sering idiopatik (bakteria orofarinks disyaki). Anjing: trauma, benda asing tumbuhan, gigitan, pneumonia pecah. Tiada predisposisi baka didokumenkan.
Tanda
- Takipnea
- Pernafasan abdomen ketara
- Bunyi paru berkurangan
- Demam, letargi, anoreksia
- Susut berat, dehidrasi; mungkin SIRS/kejutan septik
Pernafasan terpaksa dengan leher regang dan mulut terbuka ialah tanda kecemasan.
Diagnosis
X-ray toraks, sitologi cecair (standard emas), Gram, kultur aerob/anaerob, ultrasound, CT jika disyaki benda asing.
Ultrasound mencari poket cecair dan membimbing saliran.
Rawatan
Tiub saliran toraks, basuh, antibiotik i.v. spektrum luas, cecair. Oral 4–6 minggu. Pembedahan jika gagal atau ada benda asing/abses.
Prognosis
Sederhana hingga baik dengan terapi agresif awal; kucing dengan saliran sering hidup baik. Hari pertama kritikal.
Pencegahan
Elak rumput tinggi/bulir; pergaduhan; rawat luka dan batuk awal; kebersihan gigi (kucing).
Bila hubungi doktor haiwan
Segera jika sesak nafas, sianosis, rebah atau demam tinggi dengan anoreksia.
Sumber
- Internal Medicine, 5th Edition, pages 382, 383, 385.
- Small Animal Critical Care Medicine, 2nd Edition, page 180.
My highlights & notes
Tanda & simptom
Cara didiagnosis
- Cytologic evaluation of pleural fluidStandard emas
- Aerobic and anaerobic bacterial cultures
- Computed tomography of the chest
- Gram staining
- Thoracic radiography
- Ultrasonography
Pendekatan rawatan
Rawatan mesti dipreskripsikan doktor haiwan berlesen. Dos khusus sengaja tidak dipaparkan.
Soalan lazim
What is Pyothorax?
Pyothorax is a life-threatening accumulation of pus in the chest cavity of dogs and cats. Learn to recognize the signs of this respiratory emergency, how vets diagnose it, and the aggressive treatments needed to save your pet's life.
What are the symptoms of Pyothorax?
Loss of appetite、Decreased lung sounds、Dehydration、Fever、Increased abdominal excursions、Lethargy、Fast breathing、Weight loss (getting thinner)
How is Pyothorax diagnosed?
Cytologic evaluation of pleural fluid、Aerobic and anaerobic bacterial cultures、Computed tomography of the chest、Gram staining、Thoracic radiography、Ultrasonography
How is Pyothorax treated?
Rawatan mesti dipreskripsikan doktor haiwan berlesen. Dos khusus sengaja tidak dipaparkan.
Sumber
- Internal Medicine 5th · p. 383
- Internal Medicine 5th · p. 383
- Internal Medicine 5th · p. 385
- Internal Medicine 5th · p. 382
- Small Animal Critical Care Medicine, 2nd Edition (VetBooks.ir) · p. 180
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