• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Schweizer Archiv fur Tierheilkunde >Thymectomy in a cat with myasthenia gravis: a case report focusing on perianaesthetic management.
【24h】

Thymectomy in a cat with myasthenia gravis: a case report focusing on perianaesthetic management.

机译：重症肌无力的猫的胸腺切除术：一个病例报告，侧重于麻醉后处理。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

An 8 years old male persian cat with a diagnosis of myasthenia gravis was scheduled for transternal thoracotomy. An anterior mediastinal mass, suspected to be a thymoma, had to be resected. Progressive paraparesis and reduced ocular reflexes and menace response were the main clinical features. At the preoperative examination the cat appeared free of significant myocardial or respiratory diseases. The possibility of compromised respiratory function due to muscle weakness was addressed by the choice of a balanced anesthesia protocol without the use of muscle-relaxants. Intravenous induction was followed by intubation, administration of isoflurane in oxygen and ventilatory support. Thorough cardiorespiratory monitoring was performed during anaesthesia. Epidural morphin was given to reduce the amount of inhalation agent required to maintain anaesthesia and supplemental intravenous analgesia was given. At the end of the surgery, intrapleural bupivacaine was administered to help controlling poststernotomy pain, while reducing the need for systemic analgesics. Although rapid returning of swallowing reflex and spontaneous breathing followed the disconnection from the anaesthetic circuit, the cat needed to breath oxygen enriched air to maintain a normal hemoglobin saturation in the early postoperative phase.
机译：诊断为重症肌无力的8岁雄性波斯猫计划进行胸廓切开术。怀疑是胸腺瘤的前纵隔肿块必须切除。主要的临床特征是进行性轻瘫，眼反射和威胁反应减弱。在术前检查中，猫似乎没有明显的心肌或呼吸系统疾病。通过选择不使用肌肉松弛剂的平衡麻醉方案，可以解决由于肌肉无力而导致呼吸功能受损的可能性。静脉诱导后，进行插管，在氧气中给予异氟烷和通气支持。麻醉期间进行了彻底的心肺监护。给予硬膜外吗啡以减少维持麻醉所需的吸入剂量，并给予补充静脉镇痛。在手术结束时，给予胸膜内布比卡因以帮助控制胸骨切开术后的疼痛，同时减少对全身镇痛药的需要。尽管在麻醉回路断开之后，吞咽反射和自发呼吸迅速恢复，但猫仍需要呼吸富含氧气的空气，以在术后早期维持正常的血红蛋白饱和度。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号