猫动脉血栓保守及手术疗法的回顾性研究

Retrospective Study of Conservative and Surgical Treatments for Feline Arterial Thrombosis

摘要: 近年来，养猫家庭的增多及社会生活的发展，使得兽医临床中可见的肥厚性心肌病的猫咪日渐增多，由此继发的动脉血栓栓塞病例也逐渐增多。本文统计了南京地区2家宠物中心医院在2022年4月至2023年12月的21个月中由猫的肥厚性心肌病继发确诊动脉血栓的病例85例，其中6例因治疗信息不完善，未纳入相关预后的数据统计，79例拥有完整的治疗过程及疾病转归。本研究就目前动脉血栓的两种治疗方法即保守治疗和手术取栓做了相关数据分析，证实了在血栓栓塞发生的4小时内进行栓子取出的存活率较保守治疗的存活率增加约30%，手术需要的适应性条件本文也做陈述，以期给兽医临床工作者们更多的诊疗参考。

Abstract: In recent years, with the growing number of pet cats and advancements in social lifestyles, the incidence of feline hypertrophic cardiomyopathy (HCM) observed in veterinary clinics has been steadily increasing. Concurrently, secondary cases of arterial thromboembolism (ATE) have also shown a gradual rise. This study retrospectively analyzed 85 cases of ATE secondary to HCM diagnosed over a 21-month period from April 2022 to December 2023 at two major pet hospitals in the Nanjing region. Among these cases, six were excluded due to incomplete treatment records, leaving 79 cases with complete treatment courses and documented disease outcomes for analysis. The study evaluated data related to the two primary treatment approaches for ATE—conservative management and surgical thrombectomy—and confirmed that the survival rate within four hours of thromboembolic onset was approximately 30% higher with surgical intervention compared to conservative treatment. Additionally, this paper outlines the specific criteria required for surgical candidacy, aiming to provide valuable insights for veterinary clinicians in diagnosing and treating ATE.