查看狗的胸腔镜次全心包切除术和右心房肿块切除术的源代码

== 摘要 (Abstract) ==

病例描述：一只 10 岁的绝育雌性柯基犬被检查有 3 周的嗜睡和体重增加史。

临床表现：体格检查结果包括心音低沉、腹部膨胀，腹胀伴有液体波。胸部 X 线检查显示球状心脏轮廓，胸部超声检查显示心包积液和起源于右耳廓的带蒂肿块。

治疗和结局：初始治疗包括心包穿刺术。一周后，行胸腔镜右心房占位切除术。没有发现手术并发症，狗在手术后约 28 小时出院。肿块的组织学检查结果提示 2 级血管肉瘤，边缘不完全。手术后 35 天开始使用多柔比星治疗。这只狗在大规模切除后存活了 177 天，当时它因与转移性疾病相关的并发症而被安乐死。

临床相关性：研究结果表明，胸腔镜右心房肿块切除联合辅助阿霉素治疗可能是右心房肿块狗开胸术的可行替代方案。


Case description: A 10-year-old spayed female Corgi mix was examined for a 3-week history of lethargy and weight gain.

Clinical findings: Physical examination findings included muffled heart sounds and a distended abdomen with a fluid wave on ballottement. Thoracic radiography revealed a globoid cardiac silhouette, and thoracic ultrasonography indicated pericardial effusion and a pedunculated mass originating from the right auricle.

Treatment and outcome: Initial treatment consisted of pericardiocentesis. One week later, thoracoscopic right atrial mass resection was performed. No surgical complications were noted, and the dog was discharged approximately 28 hours after surgery. Results of histologic examination of the mass indicated a grade 2 hemangiosarcoma with incomplete margins. Treatment with doxorubicin was initiated 35 days after surgery. The dog survived for 177 days after mass resection, when it was euthanized because of complications related to metastatic disease.

Clinical relevance: Findings suggested that thoracoscopic right atrial mass removal combined with adjunct doxorubicin treatment may be a viable alternative to thoracotomy in dogs with right atrial masses.

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