犬胃切开术优质精品文档.pptVIP

【preoperativepreparation】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。【operativeapproach】脐前腹中线切口。【operativemethod1】【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Gastricdilatationandvolvulus

胃扩张和扭转Adogwithabloatingstomachhasashorttimetolivewithoutemergencyveterinaryintervention.?Oncethestomachisunabletoexpelgassesproduced?fromfermentationwithinthestomach,?aseriesofeventsoccurthatresultultimatelyinsuchintraabdominalpressurethatthedogisunabletosurvive.?Circulatorycollapseandheartfailureultimatelyresult,afterextremestretchingofthestomachwall,constrictionofintraabdominalbloodvessels,widespreaddeathanddestructionofthestomachwall,andreleaseofintestinaltoxins.?GastricForeignBodyRemovalForsomebackgroundonthisthirteenyearoldLhasaApso藏獒patientthathadarubberballinitsstomachforoverelevenyears.?Thatsright!?Elevenyears!?Finally,aftertheoraladministrationofBariumcontrastmaterialandafewradiographs,theevidenceforaspaceoccupyingobjectinthestomachwasevident.?Thispatientwasdismissedfromtheanimalhospitalthedayafterthissurgerywas?performed.?Thehappydogwaswagging左右摆动hertailandthedoctorgotabigkissfromthegratefulowner!?Theownerrecognizedthesectionedballasonethedogplayedwithovertenyearspreviously.?Thesectionedballisshownbelow;itwas11/2inchesindiameter.ThemidlineabdomenisincisedThestomachisidentifiedStomachisisolatedforsurgeryCloseabdominalincision常规闭合腹壁切口6.apercutaneo