- 期刊
病例報告：利用氣管內支架治療犬之氣管塌陷
Case Report: Use of Intraluminal Stents in the Treatment of Tracheal Collapse in Two Dogs
摘要
病例A為六歲齡已絕育雄性吉娃娃，因嚴重喘鳴於地方動物醫院診斷為氣管塌陷而帶至中興大學獸醫教學醫院就診。視診可見其嚴重喘鳴，激動時黏膜發紺，放射線學檢查可見入胸處至第四肋間氣管管徑狹窄。住院期間以內科治療成效不彰，遂於入院二周後進行氣管內支架裝置手術。術後症狀明顯改善。病例B為四歲齡未絕育雄性約克夏，於距就診兩年前曾於中興大學獸醫教學醫院以氣管內支架治療氣管塌陷。兩年期間曾因反覆咳嗽多次回診，診斷為肺炎及支架前端氣管再塌陷，以內科治療控制穩定。就診前日，病犬出現持續咳嗽帶血，且有嘔吐現象，送至地方醫院急診並住進氧氣房。於隔日轉診至教學醫院。就診當日，病犬嚴重喘鳴，激動時黏膜發紺。放射線學檢查可見肺部病變，氣管支架前端氣管壁不規則但未見狹窄。初步診斷為犬之肺炎，以內科治療但無成效，遂於入院一周後進行氣管內視鏡檢查，發現氣管支架前端金屬斷裂，兩側肉芽腫增生，以及氣管側邊塌陷情形。當日於其氣管內裝置第二支支架，支撐前端氣管部分並穩定斷裂區域。術後症狀明顯改善。病例A於術後兩年死於嚴重肺炎。病例B追蹤至術後991天，除偶有咳嗽外，其餘皆正常。
並列摘要
Two dogs with tracheal collapse were treated by intraluminal stents. Case A was a six-year-old, castrated male Chihuahua referred to National Chung-Hsing University Veterinary Teaching Hospital(NCHU VTH) for treating tracheal collapse. Upon presentation, he presented severe panting with goose-like sound, Thoracic radiographs confirmed the diagnosis. We failed to treat him with medical therapy during the hospitalization of 12 days. Two intraluminal stents were implanted into the trachea. The Patient recovered well after the procedure. Case B was a four-year-old intact male Yorkshire terrier implanted an intra-tracheal stent 2 years ago owing to tracheal collapse. He was referred to NCHU VTH for severe stridor and coughing. Medical therapies failed to control and improve the condition during the hospitalization of 6 days. Bronchoscopy revealed a suspected intra-tracheal stent fracture, granulation tissue and lateral tracheal collapse. The second stent was implanted to stabilize the first tracheal stent and to support the proximal trachea. The Patient recovered well after the procedure as well. Case B has been doing well 991 days after the procedure except for occasional coughing. However, unfortunately, Case A was died of pneumonia 2 years after the procedure.