一例田园猫肠道线性异物的诊治

Diagnosis and treatment of linear intestinal foreign body in a felis catus

猫的肠梗阻是一种肠道机能障碍、导致内容物转运困难的疾病,临床上对机械性梗阻和功能性梗阻的快速鉴别诊断存在一定难度。本病例为一只具有反复呕吐史的田园猫,在拍摄X线平片后未见明显异物,通过腹部B超检查诊断为肠道线性异物,并进行了无菌导尿管引导下的手术治疗。术后运用B超对肠道恢复情况进行监测,诊断胃肠道炎症导致的功能性梗阻并评估了术部肠道的愈合情况,为后续治疗提供依据,预后良好。

Intestinal obstruction in cats is a disease characterized by intestinal dysfunction and difficulty in transporting contents. It is difficult to distinguish between mechanical obstruction and functional obstruction with low opacity. This case was a felis catus with a history of repeated vomiting. No obvious foreign body was found after plain Xray,and linear intestinal foreign body was diagnosed by abdominal b-ultrasound,and then surgical treatment was performed under the guidance of sterile urethral catheter. Postoperative b-ultrasound was used to monitor the intestinal recovery,diagnose functional obstruction caused by gastrointestinal inflammation and evaluate the intestinal healing at the operative site,providing a basis for subsequent treatment with a good prognosis.