儿童特发性先天性颈大食管

M. Ahmadnejad, G. Jalilzadeh-Amin, S. Hashemi-Asl
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引用次数: 0

摘要

巨食管是一种先天性食管松弛和扩张,但也会发生后天性病例。流涎、反流、吸入性肺炎和食管炎是大食管的并发症。据报道,包括马、牛、水牛、山羊、绵羊、狗和猫在内的各种动物都患有巨食道,但反刍动物中这种情况很少见。巨食管的确切病因尚不清楚。一个来自牧羊场的两天大的孩子被转诊到兽医教育教学医院,他在喂完奶后会反胃,有时还会咳嗽。喂完奶后,喉咙感觉到肿大。在过去的一个月里,这群动物中有两个类似的病例死于这些症状。动物的所有生命体征和全血细胞计数均正常。进行侧位平片和钡造影造影片进一步检查。影像学检查证实了先天性颈部巨食道。作为治疗方案,该动物还建议向下按摩食道,并在食用少量牛奶后抬起前肢。有人建议应该扑杀雄鹿,以控制可能的遗传来源。在一周后的随访中,孩子还活着,但在第二周就死了。本报告介绍了一例儿童先天性颈部巨食管的临床和放射学表现。并发症可以通过特殊护理相对控制,但动物不太可能长时间存活。
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Idiopathic Congenital Cervical Megaesophagus in a Kid
Megaesophagus is atony and dilatation of the esophagus that is usually congenitally but acquired cases also happen. Salivation, regurgitation, aspiration pneumonia, and esophagitis are complications of the megaesophagus. Megaesophagus has been reported in various animals including horses, cows, buffaloes, goats, sheep, dogs, and cats but the occurrence is rare in ruminants. The exact etiology of the megaesophagus remains unknown. A two-day-old kid from a goatherd was referred to veterinary education and teaching hospital who regurgitate after milk feeding and sometimes cough. An Enlargement was felt under the throat after milk feeding. Two similar cases in this herd had died with these symptoms in the past month. All vital signs and complete blood cell count of the animal were normal. Lateral plain radiographs and contrast radiographs with barium contrast were performed for further examination. Radiographic findings confirmed the congenital cervical megaesophagus. Esophageal massage to the down direction and the forelimb raising after eating a small amount of milk was also recommended for this animal as a treatment protocol. It was recommended that the bucks should be culled to control the possible genetic origin. In our follow-up after a week, the kid was alive, but dead in the second week. This report presents the descriptions of clinical and radiographical findings of a congenital cervical megaesophagus in a kid. The complications can be relatively controlled with special care, but it is unlikely that the animal can be kept alive for long periods.
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审稿时长
30 weeks
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