Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
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Tracheobronchial Foreign Body in a Shih-tzu Dog; Diagnostic and Therapeutic Trial Using Bronchoscopy

시츄견에서 발생한 기관기관지 이물의 기관지경을 통한 진단적 및 치료적 적용 증례

  • Park, Chul (Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California) ;
  • Yoo, Jong-Hyun (BK21 Basic & Diagnostic Veterinary Specialist Program for Animal Diseases, College of Veterinary Medicine, Konkuk University) ;
  • Park, Hee-Myung (Department of Veterinary Internal Medicine and Konkuk University)
  • 박철 (캘리포니아주립대(데이비스)) ;
  • 유종현 (BK21 동물 질병 진단 및 치료 전문 수의인력 양성 사업단) ;
  • 박희명 (건국대학교 수의과대학)
  • Published : 2009.08.31
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Abstract

A 4-year-old, neutered male Shih-tzu dog weighing 5.4 kg was referred due to anorexia and chronic coughing. Based on history, physical examination, laboratory tests, radiographic findings, echocardiography, and bronchoscopic examination, the dog was diagnosed as tracheobronchial foreign body. The foreign body was steamed rice debris, which was removed by bronchoalveolar lavage (BAL) with vacuum suction of bronchoscopy. Bacterial and fungal culture of collected BAL fluid was negative. Baermann test for lungs parasites also was negative. The dog was treated with bronchodilator, antibiotics, anti-inflammatory agent, and mucolytics for 7 days. Appetite increased and coughing sign was clearly improved after removal of foreign body and medical therapy. This case report describes that bronchoscopic techniques are available for the evaluation and management of airway foreign bodies.

5킬로그램의 4년령의 중성화된 수컷 시츄견이 식욕부진과 만성 기침을 주증상으로 내원하였다. 이 환견은 병력청취, 신체검사, 임상병리검사, 방사선 진단, 심초음파 검사 및 기관지경 검사를 근거로 기관기관지 이물로 진단되었다. 그 이물은 밥알 부스러기들로 확인되었고 기관지경을 이용한 세기관지 세척 후 진공 흡인을 통해 제거되었다. 진공 흡인으로 채취된 세척 이물의 세균 및 곰팡이 배양과 폐 기생충에 대한 검사는 음성을 보였다. 환견은 진단 후 7일 동안 테오필린, 프레드니솔론, 독시사이클린, 엔로플록사신, 아세틸시스테인, 실리마린, 수크랄페이트를 처방 받았다. 이물제거와 약물치료 후 식욕의 증진과 기침 증상은 완전히 없어졌다. 이 증례 보고는 기관지경 기술을 통해 호흡기의 이물의 진단평가와 제거가 가능함을 보여준다.

Keywords

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