한국임상수의학회지 (Journal of Veterinary Clinics)

  • 제24권1호
  • /
  • Pages.46-50
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  • 2007
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  • 1598-298X(pISSN)
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  • 2384-0749(eISSN)
한국임상수의학회 (The Korean Society of Veterinary Clinics)
권호 표지

흉부 총상견에서 CT 촬영을 통한 흉부외상의 진단 및 치료 증례

Case Study of Diagnosis and Treatment of Thoracic Gunshot Trauma in a Dog by Computed Tomography

  • 심경미 (전남대학교 수의과대학 및 생물공학 연구소) ;
  • 김세은 (전남대학교 수의과대학 및 생물공학 연구소) ;
  • 유경훈 (전남대학교 수의과대학 및 생물공학 연구소) ;
  • 박현정 (제주대학교 수의학과) ;
  • 배춘식 (전남대학교 수의과대학 및 생물공학 연구소) ;
  • 최석화 (충북대학교 수의과대학, BK21 동물의료생명과학사업단) ;
  • 강성수 (전남대학교 수의과대학 및 생물공학 연구소)
  • Shim, Kyung-Mi (College of Veterinary Medicine and Biotechnology Research Institute, Chonnam National University) ;
  • Kim, Se-Eun (College of Veterinary Medicine and Biotechnology Research Institute, Chonnam National University) ;
  • Yoo, Kyeong-Hoon (College of Veterinary Medicine and Biotechnology Research Institute, Chonnam National University) ;
  • Park, Hyun-Jung (Department of Veterinary Medicine, Cheju National University) ;
  • Bae, Chun-Sik (College of Veterinary Medicine and Biotechnology Research Institute, Chonnam National University) ;
  • Choi, Seok-Hwa (College of Veterinary Medicine, Chungbuk National University) ;
  • Kim, Seong-Soo (College of Veterinary Medicine and Biotechnology Research Institute, Chonnam National University)
  • 발행 : 2007.03.30
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초록

A 7-year-old female, Jindo dog was referred to the Veterinary Teaching Hospital with mild dyspnea and anorexia due to a gunshot trauma. The dog was wounded in the thoracic region 3 days ago. Plain radiographs showed the left 8th rib fracture, interstitial pattern in the left caudal lung field and pleural effusion. Abdominal radiographs showed the lead bullet. Computed tomographs(CT) showed the size of pulmonary contusion, laceration, lung parenchymal injuries, hemothorax and perforation of abdominal wall. The therapeutic plan was based on abnormalities seen on CT scans but not clearly seen in survey radiographs. Thoracic CT significantly provides even more informations compared with the corresponding radiographs in thoracic gunshot trauma. Although thoracic survey radiographs are useful as a screening tool, CT is highly sensitive in detecting thoracic injuries after thoracic trauma and is superior to routine thoracic survey radiographs in visualizing lung contusion, pneumothorax and hemothorax. Therefore, we recommend CT in the initial diagnostic work-up of patients with thoracic injuries and with suspected chest trauma because early and exact diagnosis of all thoracic injuries along with sufficient therapeutic consequences may reduce complications.

키워드

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