1例猫特发性乳糜胸胸腔镜手术治疗与保守疗法的效果比较

Comparison of the Effect of a Case of Cat Idiopathic Chylothorax Thoracoscopic Surgery and Conservative Therapy

旨在对比猫特发性乳糜胸胸腔镜下手术治疗和保守疗法的效果。将患有特发性乳糜胸的猫采取两种方式治疗。保守治疗采用安置胸导管每日抽吸胸腔积液,同时服用芦丁药物,并采取低脂饮食的方法。手术治疗采用胸腔镜下的胸导管结扎术和心包切除术。通过检查患猫体格状况、血液检查、细胞学检查、影像学检查来判断患猫的恢复程度。结果表明:保守治疗7 d后,患猫体重仍在下降,乳糜液生成未见减少,细胞学检查发现中性粒细胞核左移,说明该患猫胸腔积液的情况未得到明显改善,胸腔镜下手术治疗后胸腔积液明显减少,体重逐渐恢复,术后恢复良好,无感染情况。保守内科治疗在该病例的疗效上不理想,而胸腔镜下胸导管结扎术以及心包切除术是治疗猫特发性乳糜胸安全、有效的术式,能有效减少疼痛,加快恢复,减少术后并发症等。

Compare the effect of surgical treatment and conservative treatment of cat idiopathic chylothorax under thoracoscopy.Cats with idiopathic chylothorax are treated in two ways.Conservative treatment is to place a thoracic catheter for daily suction of pleural effusion,while taking rutin drugs and adopting a low-fat diet.Surgical treatment adopts thoracic duct ligation and pericardectomy under thoracoscopy.The recovery degree of the cat can be judged by checking the physical condition of the cat,blood examination,cytology examination,and imaging examination.Seven days after conservative treatment,the body weight of the cat was still decreasing,the production of chylo fluid did not decrease,and the cytological examination revealed that the neutrophil nucleus shifted to the left,indicating that the cat’s pleural effusion condition has not been significantly improved.The fluid was significantly reduced,the weight gradually recovered,and the postoperative recovery was good without infection.Conservative medical treatment is not satisfactory in the efficacy of this case,while thoracoscopic thoracic duct ligation and pericardectomy are safe and effective procedures for the treatment of cat idiopathic chylothorax,which can effectively reduce pain,speed up recovery,and reduce Postoperative complications,etc.