PDF(Pubmed)
Abstract：
UNASSIGNED: An 11-year-old male neutered cat was referred to The Ohio State University\'s Veterinary Teaching Hospital after being diagnosed with pleural effusion by a referral veterinarian. After thoracocentesis, analysis of the effusion was consistent with chyle. Echocardiography, radiographs and bloodwork were used to diagnose hypertrophic cardiomyopathy phenotype and left-sided congestive heart failure, suspected to be secondary to uncontrolled hyperthyroidism. While initiating medical therapy, repeated thoracocenteses were required. A severe pneumothorax developed, necessitating placement of bilateral thoracostomy tubes. A thoracic CT scan did not reveal a cause for the pneumothorax; therefore, it was suspected to have occurred secondarily to an iatrogenic laceration of the parenchyma during thoracocentesis. An autologous blood patch pleurodesis was considered contraindicated so instead the cat was administered a blood patch using blood from a canine blood donor. The cat\'s respiratory status remained stable without additional intervention. At 30 h after blood patch pleurodesis, the thoracostomy tubes were removed and thoracic radiographs revealed near resolution of the pleural effusion and pneumothorax. The cat remained subclinical and was discharged from the hospital 48 h after the blood patch pleurodesis. Upon follow-up at 4 and 8 weeks after discharge, the cat was alive and had no complications or adverse reactions from the blood patch pleurodesis.
UNASSIGNED: This case documents the first report of a xeno-blood patch pleurodesis performed in a cat using blood from a canine donor. The cat had a successful discharge from the hospital with no adverse reactions from the xeno-blood patch pleurodesis.
UNASSIGNED: This case documents the first report of a xeno-blood patch pleurodesis performed in a cat using blood from a canine donor. The cat had a successful discharge from the hospital with no adverse reactions from the xeno-blood patch pleurodesis.
摘要：
■一名11岁的雄性绝育猫在被转诊兽医诊断为胸腔积液后被转诊到俄亥俄州立大学的兽医教学医院。胸腔穿刺术后,对积液的分析与乳糜一致。超声心动图,X线片和血液检查用于诊断肥厚型心肌病表型和左侧充血性心力衰竭，怀疑继发于未控制的甲状腺功能亢进。在开始药物治疗时，需要反复进行胸腔穿刺。出现了严重的气胸,需要放置双侧胸腔造口管。胸部CT扫描未发现气胸的原因；因此，怀疑是在胸腔穿刺术中医源性实质撕裂后发生的。自体血液贴片胸膜固定术被认为是禁忌的，因此取而代之的是，使用来自犬献血者的血液对猫进行了血液贴片。猫的呼吸状态保持稳定，无需额外干预。在胸膜固定术后30小时，取出胸廓造口管，胸片显示胸腔积液和气胸接近消退。猫仍处于亚临床状态，并在胸膜固定术后48小时出院。在出院后4周和8周随访时，这只猫是活的，没有因胸膜固定术而出现并发症或不良反应。
■该病例记录了使用犬献血者的血液在猫中进行异种血液贴片胸膜固定术的第一份报告。这只猫成功出院，无异种血液斑块胸膜固定术的不良反应。
■该病例记录了使用犬献血者的血液在猫中进行异种血液贴片胸膜固定术的第一份报告。这只猫成功出院，无异种血液斑块胸膜固定术的不良反应。
