应用内窥镜治疗3例犬消化道异物病例的分析

3例犬(吉娃娃犬、比熊犬、边境牧羊犬)因发生消化道异物而就诊,经一般临床诊断结合直接数字平板X射线成像系统(digital radiography, DR)进行初步诊断,并根据诊断结果进行治疗。结果表明:3个病例均为消化道(食管、小肠、胃)内异物,利用内窥镜取出异物,分别为鸭脖、气门芯和铁钉,为防止继发感染,进行消炎治疗,7 d后回访预后良好。说明DR检查比较适合诊断消化道异物,通过内窥镜取出消化道异物也是风险较低、对机体损伤较小、耗时较短的一种方法。     

内窥镜在犬消化道异物诊断中的应用体会

1设备OLYMPUS CLK-4型内窥镜(100cm×9.5mm);配有大小不同,样式各异的咬口垫;OLYMPUS的FB-25K-1活检钳(160cm);电动吸引器(天津医疗器械二厂);配套内镜消毒槽;监视器和电脑录像采集系统。2材料来源于中国农业大学动物医院临床怀疑消化道内异物的病犬。3操作技术对病犬进行全麻,待病犬完全麻醉后方能进行检查操作,并在整个检查过程当中由专人进行心跳和呼吸的监控。根据犬的口腔的大小形状,选择合适的口咬垫,放在两对犬齿之后,并用绷带将上下颌牢牢系紧。犬只侧卧保定。估量一下内窥镜到达犬胃内的长度。让犬的头微微后仰,保持气管…     

犬猫消化道异物梗阻的诊治

消化道异物梗阻按滞留的位置可分为咽部梗阻、食道梗阻和胃肠梗阻。按X射线的穿透性可分为可透性异物,如石头、铁扣、缝针、刀片等;或不可透性异物,如毛巾、袜子、海绵等。按阻塞的程度可分为完全阻塞和不完全阻塞。借助X光机可以提高诊断的准确率,提高手术的成功率,有助于正确     

犬消化道异物梗阻的诊断与治疗

1　发病年龄　消化道梗阻是 6月龄以内幼犬的多发病和常见病 ,以后随着年龄的增长 ,成年犬发病率逐渐降低。2　发病原因　 ( 1 )幼犬牙齿生长期啃咬异物和玩耍中衔取异物时误咽造成。( 2 )幼犬采食相对量是成年犬的数倍 ,饥不择食 ,狼吞虎咽时发生。( 3)与同伴争抢骨头和其他异物 ,急速吞咽时梗阻。3　临床共性　病初体温正常 ,随着肠道炎症、坏死、体温升高 ,出现不同程度的恶心 ,呕吐 ,两眼发呆 ,口流清涎 ,呻吟 ,长期不食 ,肠蠕动减慢 ,肠音消失 ,循环衰竭 ,体温下降。4　颈部食道异物梗阻　一般是异物的表面有棱角、粗糙、吸附和吸水力…     

犬消化道异物性疾病的诊治

犬消化道异物性疾病是宠物犬临床的常见病和多发病,以突然发病和咽下障碍为特征。依据临床病例和文献资料,笔者叙述了犬消化道异物的种类、发病原因及其所致的口腔、咽喉、食道、胃和肠道异物性疾病的临床症状与诊疗。     

犬猫消化道异物梗阻的X-线诊断与治疗体会

对2007～2009年间发生于扬州大学动物医院门诊的犬猫消化道异物梗阻进行了统计与分析,结果表明,在56例临床统计病例中,胃肠内异物梗阻最多,约占55.4%;其次为口腔内异物梗阻和食道内异物梗阻,分别为28.5%和16.1%。异物类型以动物骨骼类居多,其次为金属异物、塑料、布带、棉线等。发病犬猫以1岁以下的居多,其中大部分患病动物平时均有异嗜现象。不同位置及不同异物类型引起的梗阻,其临床症状不完全相同,即使相同位置与异物引起的梗阻,因发病时间及品种不同,其临床表现亦存在差异。根据问诊、触诊等一般临床检查结果,结合X-线平片或X线造影方法最终得以确诊。对56例犬猫消化道梗阻,分别采取了手术治疗和保守治疗的方法,最终成功治愈53例,治愈率为95%左右。     

犬猫消化道线形异物梗阻的诊治体会

临床上犬猫消化道异物较常见,但线形异物具有特殊性,笔者曾诊治数例,现总结如下.     

Intraocular lead foreign bodies in four canine eyes

Retained intraocular lead foreign bodies are well tolerated by the canine eye. Three cases (four eyes) of intraocular lead shot are the subject of this report.     

一例犬胃内异物的诊疗

胃内异物是犬临床常见的消化道疾病,在临床诊断中经常会出现误诊,引起动物的死亡.作者通过一例典型病例,从发病情况、临床症状、实验室检查(血液学和影像学检查)和手术治疗及预后各个方面对犬胃内异物的诊治进行了分析和探讨.     

21例犬猫胃肠道异物的B超诊断

对21例犬猫(猫4例,犬17例)腹部进行B超胃肠道异物检查,并经手术证实其诊断。结果显示:B超检查对犬猫胃肠道异物的诊断符合率为100%,对异物的定位诊断符合率为90.5%;B超诊断胃肠道异物的声像图特征为肠腔扩张,积气时为形态不定的强回声团,积液时为无回声的液性暗区;肠黏膜皱襞水肿、增厚;根据回声界面的轮廓可区分异物的类型,球类异物因其曲面回声界面而易辨认,且后方明显伴有声影,线性异物呈现为明亮的线形回声界面,与较大阻塞异物相比,线形异物时肠管扩张通常较不明显。研究表明B超可精确地诊断犬猫胃肠道异物。     

Migration of wooden skewer foreign bodies from the gastrointestinal tract in eight dogs

Wooden skewer foreign bodies were found in eight dogs. Five presented for evaluation of draining sinuses and two for inflammatory disease referrable to the thorax, abdomen or pelvic region. In an additional case, pneumothorax resulted from perforation of the stomach and diaphragm. Ingestion was considered the most likely mode of access of the foreign body in all cases. Although the wooden foreign bodies were seen radiographically in only two dogs, identification of soft tissue or bony changes, or the results of contrast sinography assisted diagnosis. Surgical retrieval led to resolution of signs in all cases.     

Trisomy 2 in three cases of canine haemangiopericytoma.

Two female (12 and 14 years old) and one male dog (10 years old) developed haemangiopericytomas. Three copies of chromosome 2 were present in the tumours of all three dogs. Additional alterations were an interstitially deleted chromosome 1, centric fusions 3/34 and 8/15, isochromosome 32 and two unidentified marker chromosomes (M1, M2) in one bitch. In the other bitch, the additional alterations were trisomy 37, centric fusions 8/38 and 30/31, and a derivative chromosome 13 (der13). In the male dog, tandem fusion 2/19 was present in addition to two structurally normal chromosomes 2.     

犬消化道多发性异物的手术治疗1例

犬消化道异物是指某些不能或不易被消化的物体进入并存留于消化道之中,引起局部损伤、炎症乃至机械性阻塞的病变,是犬病临床上常见的急症之一。笔者遇一例犬消化道多发性异物的病例,经手术治疗后痊愈。     

Thoracic oesophageal foreign bodies in the dog: a review of ninety cases

This paper describes the management of ninety dogs referred with thoracic oesophageal foreign bodies. The diagnosis, treatment and complications are discussed and an overall recovery rate of 83/90 (92.2 per cent) recorded. A conservative approach using oesophagoscopy and forceps delivery was employed in all but seven cases. The advantages of passing the largest possible rigid endoscope under conditions provided by muscle relaxation are emphasized.