通过体格检查和 CT 评估 137 只外伤后送往英国转诊医院的猫的胸部损伤情况。

IF 1.9 2区 农林科学 Q2 VETERINARY SCIENCES Journal of Feline Medicine and Surgery Pub Date : 2024-02-01 DOI:10.1177/1098612X241228050
Nicola Mansbridge, Giorgio Kallis, Jinjing He, Isabelle Pearce, Joy Fenner
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引用次数: 0

摘要

研究目的本研究旨在描述猫创伤后的临床检查和胸部 CT(TCT)结果,并确定与 TCT 异常和治疗干预需要相关的体格检查结果:方法: 我们开展了一项多中心、回顾性、观察性研究。方法:这是一项多中心回顾性观察研究。参与研究的医院收治的猫咪均有钝性创伤病史,并接受了 TCT 检查。研究收集了有关信号、病史、体格检查、TCT 结果和后续干预措施的数据:结果:共纳入 137 只猫。道路交通事故(RTA)是最常见的外伤原因(69%)。胸部检查中最常见的异常发现是呼吸急促(32%)、粘膜苍白(22%)和呼吸困难(20%)。在 TCT 中最常发现的胸部病变是肺不张(34%)、肺挫伤(33%)、气胸(29%)和胸腔积液(20%)。胸腔穿刺术是最常见的干预措施(12%),其次是放置胸腔引流管(7%)。共有 45 只(33%)猫没有体检异常,但在 TCT 中发现了异常;其中 6 只需要进行干预。临床检查中胸部异常数量的增加与 TCT 发现异常的可能性增加(几率比 [OR] 2.04,95% 置信区间 [CI] 1.21-3.44,P = 0.008)和需要干预的可能性增加(OR 1.82,95% CI 1.32-2.51,P 结论和相关性:据报告,钝性外伤最常见的原因是RTA。胸腔积液、肺挫伤和气胸是 TCT 发现的最常见的异常情况,胸腔引流是最常用的干预措施。TCT 可能有助于鉴别胸腔体检结果正常但胸腔病变严重的猫,胸腔检查发现大量异常时应怀疑胸腔存在轻微和严重病变。本研究的结果可用于帮助选择钝性创伤后进行 TCT 的适当病例。
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Physical examination and CT to assess thoracic injury in 137 cats presented to UK referral hospitals after trauma.

Objectives: The aim of the study was to describe clinical examination and thoracic CT (TCT) findings in cats after trauma, and to identify physical examination findings associated with both abnormalities on TCT and the need for therapeutic interventions.

Methods: A multicentre, retrospective, observational study was conducted. Cats admitted to the participating hospitals with a history of blunt trauma and that underwent TCT were eligible. Data were collected on signalment, history, physical examination, TCT findings and subsequent interventions.

Results: In total, 137 cats were included. Road traffic accidents (RTAs) were the most frequently reported cause of trauma (69%). Tachypnoea (32%), pale mucous membranes (22%) and dyspnoea (20%) were the most common abnormal findings on thoracic examination. The most frequently identified thoracic pathologies on TCT were atelectasis (34%), pulmonary contusions (33%), pneumothorax (29%) and pleural effusion (20%). Thoracocentesis was the most commonly performed intervention (12%), followed by chest drain placement (7%). A total of 45 (33%) cats had no physical examination abnormalities but did have abnormalities detected on TCT; six of these cats required interventions. Increasing numbers of thoracic abnormalities on clinical examination were associated with increasing likelihood of having abnormal findings on TCT (odds ratio [OR] 2.04, 95% confidence interval [CI] 1.21-3.44, P = 0.008) and of requiring an intervention (OR 1.82, 95% CI 1.32-2.51, P <0.001).

Conclusions and relevance: RTAs were the most common reported cause of blunt trauma. Atelectasis, pulmonary contusions and pneumothorax were the most common abnormalities identified on TCT, and thoracic drainage was the most utilised intervention. TCT may be useful in identifying cats with normal thoracic physical examination findings that have significant thoracic pathology, and a high number of abnormal findings on thoracic examination should raise suspicion for both minor and major thoracic pathology. The results of this study can be used to assist in selecting appropriate cases for TCT after blunt trauma.

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来源期刊
CiteScore
3.90
自引率
17.60%
发文量
254
审稿时长
8-16 weeks
期刊介绍: JFMS is an international, peer-reviewed journal aimed at both practitioners and researchers with an interest in the clinical veterinary healthcare of domestic cats. The journal is published monthly in two formats: ‘Classic’ editions containing high-quality original papers on all aspects of feline medicine and surgery, including basic research relevant to clinical practice; and dedicated ‘Clinical Practice’ editions primarily containing opinionated review articles providing state-of-the-art information for feline clinicians, along with other relevant articles such as consensus guidelines.
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