公猫尿道梗阻的急诊治疗。

Modern veterinary practice Pub Date : 1984-07-01
R J Kolata
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引用次数: 0

摘要

对轻度尿道梗阻的猫进行麻醉,清除梗阻并冲洗膀胱。中度感染的猫被镇静并给予静脉输液,通常在阻塞被清除后很快恢复正常。病情严重的猫被给予静脉输液、NaHCO3和葡萄糖酸钙,镇静或麻醉并疏通。继续给药以避免肾功能衰竭。膀胱可每天表达3-4次或给予乙二酚,以帮助逼尿肌功能恢复。氟烷、1%硫喷妥钠或硫胺酮或氯胺酮-乙酰丙嗪可用于麻醉阻塞的猫。使用18或20毫米,2 1/2英寸的针外导管或泪针来缓解梗阻,之后使用3 1/2毫米硅胶或乙烯基导管进行导尿和用无菌生理盐水进行膀胱灌洗。膀胱切开术可以在最终矫正手术前恢复。
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Emergency treatment of urethral obstruction in male cats.

Cats with mild urethral obstruction are anesthetized, the obstruction removed and the bladder lavaged. Moderately affected cats are sedated and given IV fluids, and usually return to normal soon after the obstruction is removed. Severely affected cats are given IV fluids, NaHCO3 and Ca gluconate, sedated or anesthetized and unblocked. Fluid administration is continued to avoid renal failure. The bladder can be expressed 3-4 times daily or bethanechol given to aid recovery of detrusor muscle function. Halothane, 1% thiopental or thiamylal, or ketamine-acepromazine can be used to anesthetize blocked cats. An 18- or 20-ga, 2 1/2-inch over-the-needle catheter or a lacrimal needle is used to relieve the obstruction, after which a 3 1/2-Fr Silastic or vinyl catheter is used for catheterization and bladder lavage with sterile saline. Cystotomy allows recuperation before definitive corrective surgery.

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