犬胃切开术新.pptVIP

【preoperative preparation】非紧急手术，禁食24h以上。急性胃扩张—扭转病犬，术前积极补充血容量和调整酸碱平衡。出现休克症状的犬应纠正，快速静脉内输液应有中心静脉压监护，静注林格尔氏液与5％葡萄糖或糖盐水，剂量为80~l00ml/kgbw，静注氢化考地松和氟美松各4~10mg/kgbw，氯霉素50mg/kgbw。在静脉快速补液的同时，经口插入胃管以导出胃内蓄积的气体、液体或食物，以减轻胃内压力。 【anesthesia】全身麻醉，气管内插入气管导管，以保证呼吸道通畅，减少呼吸道死腔和防止胃内容物逆流误咽。 【restrain】仰卧保定。 【operative approach】脐前腹中线切口。 【operative method 1】 【术后治疗与护理】1.术后24h内禁饲，不限饮水。2.24h后给予少量肉汤或牛奶，术后3天可给予软的易 消化的食物，应少量多次喂给。3.在恢复期间，注意动物水、电解质及酸碱平衡是否 发生了失调，必要时应予以纠正。4.术后5天内每天定时给予抗生素，可首先选用氯霉素 150mg／kg体重，每天二次肌肉注射。5.密切观察胃的解剖复位情况，特别在胃扩张—扭转 的病犬，经胃切开减压整复后，注意犬的症状变 化，一旦发现胃扩张—扭转复发，应立即进行救治 Gastric dilatation and volvulus胃扩张和扭转 A dog with a bloating stomach has a short time to live without emergency veterinary intervention.? Once the stomach is unable to expel gasses produced?from fermentation within the stomach,? a series of events occur that result ultimately in such intra abdominal pressure that the dog is unable to survive.?Circulatory collapse and heart failure ultimately result, after extreme stretching of the stomach wall, constriction of intra abdominal blood vessels, widespread death and destruction of the stomach wall, and release of intestinal toxins.? Gastric Foreign Body Removal For some background on this thirteen year old Lhasa Apso藏獒 patient that had a rubber ball in its stomach for over eleven years.? Thats right!? Eleven years!? Finally, after the oral administration of Barium contrast material and a few radiographs, the evidence for a space occupying object in the stomach was evident.? This patient was dismissed from the animal hospital the day after this surgery was? performed.? The happy dog was wagging左右摆动her tail and the doctor got a big kiss from the grateful owner!? The owner recognized the sectioned ball as one the dog played with over ten years previously.? The sectioned ball is shown below; it was 1 1/2 inches in diameter. The midline abdomen is incised The stomach is identified Stomach is isolated for surgery Close abdominal incision常规闭合腹壁切口 6. a percutaneo