Clínica Veterinária n. 114

-"#!

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  '%'$&$%' $+ & !#$% $# ' $  *$$  #% #$    %#!  # !#$%$   !%#   $  %'$  %#$  &  ' $"&  $%#&. #  $( -$ $    $  %!  !#' &%#   *'  # =(+(,3(-10$13*2 #-1 %&% % *1-1 %# $ # =  +.*(%(" :9-.-#$1$0 $  '% +-,(2-0 # $+2$+.'$%# 0$ * 2 #1#  =! (5-0(1"-#$"-,2 +( $$  % , :9- %    %  ="("* &$+3*20 008.(# #$ +(,32-1 '-0 1 ($ 2 %#$&$0$  =0$/3$0+(*4$7$1+$,-1 /3$-1"-,4$,"(- +$% $ 2 (   , (1 ="-,%(0+ :9-#  +.*(%(  " :9-$1.$";%(" $+ 2 $#',   !%  2$+.-0$ *   /$% =+ (1$1.$";%("-1$,1;   !#$!%' 4$*$0$.0-#32(4&%$!#  $!) # ! # "&! %% "& 2 /$%  ! #  !# # $  % &%#$$   1% #,+   #  #%# #  #

!""#! !"*!#!%# )-%"%#! (!"*!" "(%  #!#!  "$%#

" ! !" %#+!""$$"" 0 ,1%31<$1#$1 ,&3$'$+-"-+.-,$,2$10$ *(7 # 1  -*1 1#$1 ,&3$$'$+-"-+.-,$,2$1%-0,$"(# 1. 0 4$2$0(,80(-1  5 +$1* !-0 2-0( (10$ *(7 #-1  5 +$1#$(+ &$+0 (-13*20 11-+$0$ *(7 #-1  - #-0$1#$1 ,&3$" # 120 #-1 2(4-1   ,(1. 0"$(0-1 2(4-1  -,13*2 10$ *(7 # 1.$*- 2$,#(+$,2-$1.$"( *(7 # /3(.$"-* !-0 #-0$1#(0$2-1$(,#(0$2-1  $2(0 # 1$$,20$& 10$ *(7 # 1.$* $/3(.$#$+-2-!-61  0 ! *'-1.3!*(" #-1   .;23*-1#$*(40-1.3!*(" #-1  

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!#

%#'##  "&% 3 (,'$(0-3(+ 09$1 (* 03#$,2$9- 3*-

"##

(""!#!"



 

+!'&#&-#'!$%)"#' "!'' *'(&'

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'& "0 &'$#"'-* $ #'(#&&# #

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  )  $  ! &       !&   "  )  !         % !!            &%     '    #&%  "   !")   #&%  "        $ )   &%      $'(!



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"#""&#*&&#

./01!234

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Cirurgia Ruptura traqueal em um cão – relato de caso Tracheal rupture in a dog – case report Ruptura traqueal en un perro – relato de caso Clínica Veterinária, Ano XX, n. 114, p. 82-90, 2015

Daniel Tonin Benedetti MV, aluno de mestrado Depto. de Cirurgia - FMVZ/USP Prof. - LACO - Faculdade Max Planck dtbvet@yahoo.com.br

Ricardo de Conti Pantaleão Médico veterinário UTI móvel Intensive Home Care r_pantaleao@hotmail.com

Daniela Amstalden Médica veterinária, profa.

Faculdade Max Planck daniela.cmvd@hotmail.com

Ricardo Birolii Coutinho Médico veterinário autônomo rbcanestesio@gmail.com

Raquel Carolina Alves Médica veterinária autônoma raquelcarolinaalves@yahoo.com.br

Helder Ferreira Magalhães Aluno de graduação FMV Max Planck helder.agrojapi@ig.com.br

Resumo: As alterações na traqueia cervical de cães e gatos provocam dificuldades respiratórias e podem ser decorrentes de tumor, corpo estranho, colapso traqueal, hipoplasia, estenose segmentar, estenose pós-intubação prolongada e traumatismo.

Este último, no entanto, constitui a principal causa de ruptura ou estenose traqueal, podendo ser causado por briga entre animais ou por lesões penetrantes. As lacerações podem causar enfisema subcutâneo e mediastínico significativo.

Objetiva-se com este trabalho relatar o caso de um cão sem raça definida de três anos de idade, com histórico de briga com outro cão dois dias antes, sem escoriações no corpo, mas apresentando enfisema subcutâneo generalizado. Após o diagnóstico de ruptura traqueal traumática, o animal foi submetido a traqueoplastia. A técnica se mostrou exequível e uma ótima opção em casos de pequenas lacerações.

Unitermos: traqueia, enfisema, dispneia, pneumomediastino Abstract: Changes in the cervical trachea in dogs and cats cause breathing difficulties and could be due to tumors, foreign bodies, tracheal collapse, hypoplasia, segmental stenosis, prolonged post-intubation stenosis and injuries. The latter, however, is the main cause of breakage or tracheal stenosis, and may be caused by fighting among animals or penetrating injuries. Lacerations can cause significant subcutaneous and mediastinal emphysema. This work reports the case of a threeyear-old mixed-breed dog with generalized subcutaneous emphysema and a two-day history of fight with another dog. The animal had no head injuries and was diagnosed with traumatic tracheal rupture, being submitted to tracheoplasty. The technique proved feasible and a great option for small lacerations.

Keywords: trachea, emphysema, dyspnea, pneumomediastinum Resumen: Las alteraciones de la traquea cervical en perros y gatos provocan dificultades respiratorias y pueden estar asociadas a tumores, cuerpos extraños, colapso traqueal, hipoplasia, estenosis segmentaria, estenosis postintubación prolongada y traumatismo. Los traumas traqueales representan la principal causa de ruptura o estenosis de traquea, y pueden estar ocasionados por peleas entre animales o por lesiones penetrantes. Las laceraciones pueden causar un importante enfisema subcutáneo y mediastínico. El objetivo del presente trabajo es relatar el caso de un perro mestizo de tres años, con historia de pelea con otro perro dos días antes de la consulta, sin lesiones corporales visibles, que presentaba un enfisema subcutáneo generalizado. Después del diagnóstico de ruptura traqueal traumática, se realizó una traqueoplastia. La técnica demostró ser viable en cuanto a su ejecución, representando una excelente opción terapéutica en casos de pequeñas laceraciones.

Palabras clave: tráquea, enfisema, disnea, neumomediastino

Introdução As alterações da traqueia cervical em cães e gatos podem ter origem em traumatismos, tumores 1,2, corpos estranhos, colapso traqueal, hipoplasia, estenose segmentar 3-6 e estenose pós-intubação prolongada 7. No entanto, o traumatismo é a principal causa de rupturas traqueais e ferimentos da porção cervical da traqueia 4. A laceração da porção cervical da traqueia resultante de lesões não 82

penetrantes é pouco frequente, e normalmente é produto da ação de correntes de contenção (enforcadores) 8. As lacerações traqueais podem ser graves a ponto de produzir enfisema subcutâneo e mediastínico significativo. As lacerações intratorácicas da traqueia ou dos brônquios podem ser decorrentes de trauma automobilístico e de mordedura de animais 8.

Anatomicamente, a traqueia se estende da cartilagem

Clínica Veterinária, Ano XX, n. 114, janeiro/fevereiro, 2015

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