1. Overall examination: The cat was observed to be extremely thin, the sternum and ribs were clearly visible, the body temperature was 39 degrees Celsius, the abdominal circumference increased and sagged, there was a strong sense of fluctuation on palpation, and abdominal cavity was suspected. Water, the sick cat was short of breath when percussing the abdominal wall.

2. Puncture examination: puncture the abdominal cavity with a veterinary puncture needle, and drain the pale yellow clear liquid.

3. Diagnosis

According to the analysis of the cat's medical history and clinical symptoms, due to its long-term intake of low-protein and single food, it is also in the dark. In the damp and unventilated basement, it leads to extreme malnutrition and disorder of the body's metabolism. Due to the lack of protein in the body, the colloid osmotic pressure in the blood is reduced, renal function failure, protein leakage gastroenteritis, and low osmotic pressure, so that a large amount of fluid enters the abdominal cavity. ascites. Malnourished primary ascites due to poor feeding management can be identified.

4. Treatment measures

1. After the cat lies supine and restrained, use iodine tincture to disinfect the lower abdomen where the abdominal cavity is most tense, and then use 12 # The needle is pierced 3 to 5 cm at the disinfection site, and a light yellow liquid with a slightly fishy smell can be seen flowing out of the abdominal cavity. When 2/3 of the abdominal fluid is released, withdraw the needle and press the needle hole with a cotton ball of iodine tincture. Drainage once a day, 3 to 4 times in a row. The last drain can drain the intra-abdominal fluid.

2. Rehydration and diuresis, according to the clinical symptoms of the cat, give appropriate supplementation of body fluids. Intravenous infusion of Ringer's solution or sugar saline, adding VC, VB6, ATP, COA, dexamethasone, antibiotics to the liquid; intravenous infusion of appropriate amounts of high glucose (10% glucose, mannitol, dextran) and furosemide ( Diuretics such as furanilide, furosemide), once a day.

3. Intravenous infusion of compound 18 or 17 amino acids, or intravenous infusion of cat serum albumin, once a day.

4. Feed foods with high protein content, such as eggs, milk, etc.; limit drinking water or exercise; the breeding environment should be dry and ventilated.

V. Treatment effect

After the above treatment method was used for one week, the cat regained its appetite, became invigorated, and the abdominal circumference was significantly reduced. Basically normal and allowed to be discharged. When discharged from the hospital, the owner was instructed to change the cat to a place with ventilation and light, and to strengthen the daily feeding, especially the intake of protein.

6. Experience

1. Furosemide mainly acts on the cortex of the ascending branch of the loop of medulla Inhibit the reabsorption of sodium and hydrogen ions, so that a large amount of sodium and hydrogen ions remain in the tubule fluid, resulting in an increase in the osmotic pressure in the lumen, so that the corresponding water is also left in the lumen and discharged from the urinary tract together, thereby presenting a significant diuretic effect It can prevent a large amount of water from being retained in the tissue and leaking out of the serous cavity.

2. Mannitol is a tissue dehydrating agent, which can increase plasma osmotic pressure and reduce tissue edema; Mannitol has a diuretic effect and is not metabolized in the body, and is rarely found in renal tubules after glomerular filtration It is reabsorbed and acts as an osmotic diuretic in renal failure. The dosage of mannitol should be moderate, and the speed of administration should be slow, and high concentrations and large doses should be avoided.

3. Dexamethasone has anti-inflammatory, anti-toxic, anti-allergic and detoxifying effects; antibiotics have anti-bacterial, anti-inflammatory and renal function improvement effects.

4. Compound amino acids and cat albumin can supplement a large amount of protein missing in the body. Compound amino acids can increase the osmotic pressure of serum colloids; dextran and albumin are colloidal osmotic pressure maintenance agents, and VB6 is involved in amino acids. metabolism.

5. Do not pump too much or too thoroughly at one time during drainage and decompression, otherwise it will easily lead to intestinal adhesions. The drainage should not be too fast, because ascites occurs, the blood in the blood vessels of the liver, stomach, intestines and other organs in the abdominal cavity is squeezed into the blood vessels other than the chest and abdominal cavity, causing the lungs, stomach, intestines and thoracic and abdominal organs. Anemia, if the drainage is too fast, it can cause a large amount of blood to flow into the thoracic and abdominal organs rapidly, causing strong expansion and congestion of small arteries and capillaries (called post-anemia congestion), which can easily lead to cerebral anemia and cause serious consequences. Natural drainage is appropriate, but for a long time, drainage can be done while infusion.

6. Although cat nutritional ascites is difficult to cure and has a high mortality rate, the focus is on prevention. In the process of daily pet feeding, not only should the pet be fed, but also nutritional matching should be paid attention to. Even if it is not a famous dog, it should be noted that the protein in the daily feeding should not be too low, and it should be ensured that the animal has a good space for movement and sufficient of illumination.