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

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