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一例骶尾骨麻醉技术治疗猫自发性膀胱炎的病例报告
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Abstract:
1例5月龄英国短毛猫因尿道阻塞就诊。尿常规检查可见鸟粪石结晶、细菌，未见白细胞吞噬相。超声波检查可见腔内有散在高回声光点，重力侧有高回声带，膀胱三角区轻度扩张，提示膀胱结晶、尿闭。结合体格检查、实验室检查和影像学检查结果诊断为猫自发性膀胱炎引起的尿道阻塞。通过骶尾骨麻醉技术进行膀胱泄压、尿道解痉挛和止痛，配合费洛蒙舒缓情绪，治疗第二日患猫恢复自主排尿，第三日实验室检查结果无异常，给予居家护理表并出院。患猫出院一年，至今未复发下泌尿道疾病。该病例为猫自发性膀胱炎的临床治疗提供参考。
A 5-month-old male British shorthair cat presented with urethral obstruction. Struvite crystals and bacteria without leukocyte phagocytosis were found in the urine by urinalysis. The results of ultrasound examination showed scattered hyperechoic light spots in the bladder, a hyperechoic band on the gravity side of the bladder, and mild dilatation of the trigonum vesicae, suggesting bladder crystallization and urinary closure. Urethral obstruction caused by feline idiopathic cystitis was diagnosed based on the results of physical examination, laboratory examination and imaging examination. Sacrococcygeal anesthesia was used to relieve bladder pressure, urethral spasm and pain in the affected cat. Pheromone was also used for stress relief. The cat recovered to urinate spontaneously on the second day. The cat was discharged with the home care form because the results of laboratory examination showed no abnormalities. The cat was discharged from the hospital for one year and had no recurrence of lower urinary tract disease so far. This case can provide a reference for the clinical treatment of fe-line idiopathic cystitis.
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