Akut solunum güçlüğü sendromu bulunan 84 kedide klinikopatolojik bulguların değerlendirilmesi

Yıl 2019, Cilt: 90 Sayı: 1, 1 - 18, 15.01.2019

Hadi Alıhosseını , Ekrem Çağatay Çolakoğlu

https://doi.org/10.33188/vetheder.470873

Öz

Akut solunum güçlüğü sendromu (ARDS) kedilerde acil müdahale gerektiren ve mortalitesi oldukça yüksek bir klinik sendromdur. Dokuların yeterli düzeyde oksijenlenmesindeki sorunlar şiddetli fiziksel ve mental disstrese neden olmakta ve bu durum hızlı şekilde ölüm ile sonuçlanabilmektedir. Bu çalışma; ARDS’li kedilerde klinikopatolojik bulguların değerlendirilmesini amaçlamaktadır. Çalışma akut solunum güçlüğü ve taşipne şikayeti ile getirilen 84 kedi ile gerçekleştirildi. Eşgal ve anamnez bilgileri kaydedilen hastalarda vücut ısısı, kapillar dolum zamanı, dakikadaki solunum sayısı ve dehidrasyon derecesi belirlendi; mukoza kontrolleri, kalp ve akciğer oskültasyonları kısa sürede yapıldı. Ayırıcı tanıya gidebilmek için hastalarda kan analizleri ve diyagnostik uygulamalar gerçekleştirildi. Çalışmaya dahil edilen kedilerin (n:84) 55’i acil vaka olarak değerlendirildi ve oksijen desteği sağlandı. Hastaların 71’ inde kan analizleri, 68’inde toraks grafileri, 22’sinde Ekokardiyografi ve 3’ ünde torakosentez uygulandı. Çalışmada; solunum güçlüğü olan 84 kedinin 65’inde (%77.38) non-kardiyojenik nedenler, 19 kedide ise (%22.62) kardiyojenik nedenler belirlendi. Sonuç olarak; kedilerde akut respiratorik disstres sendromu bir çok klinikopatolojik nedene bağlı şekillenmekte ve hızlı tanı ve tedavi yapılmazsa akut solunum aresti sonucu ölüme neden olmaktadır.

Anahtar Kelimeler

akciğer , dispne , kalp , kedi , solunum

Evaluation of clinicopathologic characteristics in 84 cats with acute respiratory distress syndrome

Öz

Acute respiratory distress syndrome (ARDS) characterized by high mortality in cats has a requirement of emergency care. Problems in tissue oxygenation cause physical and mental distress resulting in acute death. The purpose of the study presented here was to evaluate clinicopathologic characteristics in cats with ARDS. Study was performed in 84 cats with acute respiratory distress and tachypnea. Capillary refill time, respiratory rate, dehydration, mucosal color, heart and lung auscultation with the signalment and anamnesis were also provided immediately. Blood analyses and diagnostic applications were performed for differential diagnosis.  Of cats enrolled into the study (n:84), 55 was defined as emergency cases and supported by supplemental oxygenation. Blood analyses in 71 cats, thorax graphies in 68 cats, echocardiography in 22 cats and thoracocentesis in 3 cats were applied. Of 84 cats with dyspnea, in 65 (77.38 %) non-cardiogenic etiologies, in 19 (22.62 %) cardiogenic reasons were determined. In conclusion, acute respiratory distress syndrome would result from lots of clinicopathologic etiologies and cause acute respiratory arrest until fast diagnosis and therapy supplied.

Anahtar Kelimeler

Cat , Dyspnea , Heart , Lung , Respiratory

Kaynakça

• Carlisle CH, Biery DN, Thrall DE (1991): Tracheal and laryngeal tumors in the dog and cat: literature review and 13 additional patients. J Vet Radiol Ultrasound, 32 (5), 229-23.
• Cervone M, Beurlet S (2016): Primary bronchial carcinoma associated with bone marrow metastasis and paraneoplastic monoclonal gammopathy in a cat. JFMS, 2(2)
• Charlesworth T (2017): Pectus excavatum: congenital thoracic deformity in cats. In Practice, 39(2), 73-78.
• Corcoran BM, Foster DJ, Fuentes VL (1995): Feline asthma syndrome: a retrospective study of the clinical presentation in 29 cats. J Small Anim Pract, 36(11), 481-8.
• Davies C, Forrester SD (1996): Pleural effusion in cats: 82 cases (1987 to 1995). J Small Anim Pract, 37(5), 217-24.
• Felix N (2012): Management of patients with respiratoy distress. Proceedings of the international congress of the Italian association of companion animal veterinarians.
• Ferasin L, Sturgess CP, Cannon MJ, Caney SM, Gruffydd-Jones TJ, Wotton PR (2003): Feline idiopathic cardiomyopathy: a retrospective study of 106 cats (1994-2001). J Feline Med Surg, 5(3), 151-9.
• Jakubiak MJ, Siedlecki CT, Zenger E, Matteucci ML, Bruskiewicz KA, Rohn DA, Bergman PJ (2005): Laryngeal, laryngotracheal, and tracheal masses in cats: 27 cases (1998-2003). J Am Anim Hosp Assoc, 41(5), 310-6.
• Kornya M (2016). Acute respiratoy distress syndrome and acute lung injury in cats. Erişim: https://www.winnfelinefoundation.org/docs/default-source/cat-health-library-educational-articles/acute-respiratory-distress-syndrome.pdf?sfvrsn=2. Erişim tarihi: 12.10.2018.
• Kraje BJ, Kraje AC, Rohrbach BW, Anderson KA, Marks SL, Macintire DK (2000): Intrathoracic and concurrent orthopedic injury associated with traumatic rib fracture in cats: 75 cases (1980-1998). J Am Vet Med Assoc, 216 (1), 51-4.
• Luis Fuentes V (1998): Differential diagnosis of dyspnoea. 123-128 In: Luis Fuentes V, Swift S (Eds.), Manual of Small Animal Cardiorespiratory Medicine and Surgery. BSAVA, Gloucester, UK.
• Lux CN, Culp WT, Mellema MS, Rosselli DD, Schmiedt CW, Singh A, Mayhew PD (2018): Factors associated with survival to hospital discharge for cats treated surgically for thoracic trauma. JAVMA, 253(5), 598-605.
• MacDonald KA (2006): Congenital heart diseases of puppies and kittens. Vet Clin No Am Sm An Prac, 36, 503-531.
• Martin M, Corcoran B (2006): Cough, dyspnea and tachypnoea. 86-91 In: Martin M, Corcoran B (Eds.), Notes on Cardiorespiratory Diseases of Dogs and Cats. 2nd edn. Blackwell Publishing, Oxford, UK.
• Olsen D, Renberg W, Perrett J, Hauptman JG, Waldron DR, Monnet E (2002): Clinical management of flail chest in dogs and cats: a retrospective study of 24 cases (1989-1999). J Am Anim Hosp Assoc, 38(4), 315-20.
• Patnaik AK, Lieberman PH, Erlandson RA, Antonescu C (2003) Feline cystic thymoma: a clinicopathologic, immunohistologic, and electron microscopic study of 14 cases. J Feline Med Surg, 5(1), 27-35.
• Ruiz MD, Vessières F, Ragetly GR, Hernandez JL (2018): Characterization of and factors associated with causes of pleural effusion in cats. J Am Vet Med Assoc, 253(2), 181-187.
• Schachter S, Norris CR. (2000): Laryngeal paralysis in cats: 16 cases (1990-1999). J Am Vet Med Assoc, 216(7), 1100-3.
• Schermerhorn T, Pembleton-Corbett JR, Kornreich B (2004): Pulmonary thromboembolism in cats. J Vet Intern Med, 18(4), 533-5.
• Schmiedt CW, Tobias KM, Stevenson MA (2003): Traumatic diaphragmatic hernia in cats: 34 cases (1991-2001). J Am Vet Med Assoc, 1(9), 1237-40.
• Swift S, Dukes-McEwan J, Fonfara S, Loureiro JF, Burrow R (2009): Aetiology and outcome in 90 cats presenting with dyspnoea in a referral population. J Small Anim Pract, 50(9), 466-73.
• Sydney M, Biery DN (1980): Congenital peritoneopericardial diaphragmatic hernia in the dog and cat: a literature review and 17 additional case histories. J vet Radiol Ultrasound, (21)3, 108-116.
• Tseng LW, Waddell LS (2000): Approach to the patient in respiratory distress. Clin Tech Sm An Pract, 15, 53-62.
• Whitney WO, Mehlhaff CJ (1987): High-rise syndrome in cats. J Am Vet Med Assoc, 191(11), 1399-403.
• Williams K, Malarkey D, Cohn L, Patrick D, Dye J, Toews G (2004): Identification of spontaneous feline idiopathic pulmonary fibrosis: morphology and ultrastructural evidence for a type II pneumocyte defect. Chest, 125(6), 2278-88.