13例猫脓胸病例的总结分析

Feline Pyothorax:A Retrospective Analysis of 13 Cases

为了对猫脓胸的临床诊疗提供参考,对2018年1月至2020年12月中国农业大学动物医院收治的猫脓胸病例进行回顾性分析。人工查阅动物医院的病历获取信息,患猫感染平均年龄为32个月龄,中位年龄为24个月,均为雄性。患猫(53.8%,7/13)大多来自于多猫家庭,多为中华田园猫(53.8%,7/13)。经胸腔引流结合抗生素联合用药的方式治疗,90.9%(10/11)患猫预后良好,放置胸腔导管的患猫中88.9%(8/9)预后良好。抗生素治疗的平均时长为5周,胸腔导管平均引流持续时间为11 d。通过胸腔导管引流结合抗菌药物联合用药的治疗方式取得了良好的效果。对肺部脓肿以及常规医疗管理失败的病例,可选择开胸手术治疗。

To retrospectively analyze the cases of pyothorax in China Agricultural University Veterinary Teaching Hospital from January 2018to December 2020,so as to provide some reference for the clinical diagnosisand treatment of cat pyothorax.The information was obtained by consulting the medical records of China Agricultural University Veterinary Teaching Hospital.The average age of infected cats was 32months,and the median age was 24months.Most of the affected cats(53.8%,7/13)came from multi-cat families,and most of them were Chinese Field Cat(53.8%,7/13).90.9%(10/11)of the cats treated with thoracic drainage combined with antibiotics had a good prognosis.88.9%(8/9)of cats with thoracic catheters had a good prognosis.The mean duration of antibiotic treatment was 5weeks,and the mean duration of thoracic catheter drainage was 11days.Thoracic catheter drainage combined with antibiotics achieved good results.Thoracotomy is an option if lung abscesses are found and conventional medical management fails.