Aspiration Pneumonia
Også kjent som: Aspiration pneumonitis
Kort fortalt
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. Alvorlig lungeinfeksjon etter innånding av mat, oppkast eller magesyre; umiddelbar hjelp.
Fremmed materiale passerer strupehodet og betenner lungen kraftig.
Hva er det?
Chemical pneumonitis plus often bacterial pneumonia after inhaling food, vomit, or gastric acid. Airway protection fails (GI disease, neurology, larynx, anesthesia).
Årsaker 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 å se etter
- Cough, respiratory distress, lethargy, fever, hypoxemia, crackles (common)
- Cyanosis, collapse, regurgitation, shock (occasional)
Ortopnéstilling: strukket hals letter pusten.
Hvordan veterinærer diagnostiserer
Auscultation (may be normal), thoracic radiographs (often right middle lobe), SpO₂, arterial blood gas, tracheal wash/culture, bronchoscopy if needed.
Behandlingsalternativer
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.
Forebygging
Megaesophagus: upright feeding. Pre-anesthetic fasting. Dental care. Investigate vomiting/regurgitation early.
Når ringe veterinæren
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 diagnostiseres
- Arterial blood gas analysis
- Bronchoscopy
- Pulse Oximetry
- Thoracic radiography
- Tracheal wash
Behandlingsmetoder
Behandling må foreskrives av autorisert veterinær. Spesifikke doser vises bevisst ikke.
Vanlige spørsmål
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 må foreskrives av autorisert veterinær. Spesifikke doser vises bevisst ikke.
Kilder
- 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
Artikkelen er generell opplæring og erstatter ikke veterinærråd. Hvis dyret er sykt, kontakt veterinær.
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