1只4月龄家养短毛猫,在就诊前3 d出现呼吸加快的症状。在畜主带患病猫注射疫苗时,该猫再次表现出呼吸急促、腹式呼吸为主等症状。通过血常规、血液生化指标、血压测量、猫脑钠肽(F-Brain natriuretic peptide,F-BNP)、X射线检查、超声波检查、心电图检查及超声心肌声学造影(Myocardialcontrast echocardiography,MCE)对该病例进行诊断,最终确诊该猫患有法洛四联症(Tetralogy of fallot,TOF)。采用氧合治疗法帮助呼吸功能恢复,匹莫苯丹治疗室中膈缺损,氯吡格雷预防血小板聚集,患病猫在住院吸氧用药治疗1 d后情况好转。该文详细地介绍对患病猫身体指标的检测以及治疗方案,为TOF临床诊断和治疗提供参考。
Diagnosis and Treatment of a Case of Tetralogy of Fallot in Cats
A 4-month-old domestic short haired cat developed symptoms of accelerated breathing 3 days before treatment.When the owner took the sick cat for vaccination,the cat showed symptoms such as rapid breathing and abdominal breathing again.Blood routine,blood biochemical indexes,blood pressure measurement,F-Brain natriuretic peptide(F-BNP),X-ray examination,ultrasonic examination,electrocardiographic examination and myocardial contrast echocardiography(MCE)were used to diagnose this case,and finally the cat was diagnosed as tetralogy of Fallot(TOF).During the treatment,oxygenation therapy was used to help respiratory recovery,pimobendan was used to treat ventricular septal defect,clopidogrel was used to prevent platelet aggregation,and the cat's condition improved after one day of inhaling oxygen in hospital.In this paper,the detection and treatment scheme of the physical indexes of the affected cats were introduced in detail,to provide reference for the future clinical diagnosis and treatment of TOF.