小動物疾病系統

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肺血管血栓症
作者
林言品、賴政宏、鄭豐邦
中文病名 肺血管血栓症
英文病名 Pulmonary Thromboembolism
疾病描述

 病因:肺部血管被血管內的固體、液體或空氣塊所形成的栓子栓塞,造成肺臟組織灌流不足造成低血氧。創傷、肥胖、糖尿病或其他原因的凝血機制亢進等,容易誘發血栓形成,也容易造成肺血管血栓症的發生。

 

臨床症狀:呼吸困難、呼吸急促、咳嗽、水腫、末梢肢體血液回流不良。

診斷方法

 1.      心電圖:T波和ST段改變或是P波和QRS波形改變。

2.      肺部X光片檢查。

3.      電腦斷層掃描。

4.      肺動脈血管攝影。

5.      血液學檢查。

6.     肺血液灌流及氣體分布檢查。

治療方法

 發生此疾病病徵時,需要盡早進行治療,包括保持呼吸及心血管系統的正常功能以及提供足夠的氧氣給予。
   在發生肺血管血栓症時,可使用抗凝劑如肝素 (Heparin)、低密度肝素 (Low molecular weight heparin) 進行治療,如果說已經有危及生命的狀況時,可以使用血栓溶解劑或是以手術方式直接進行處置。

預防控制方法

1.      減少長時間肢體不活動。

2.      注意外出安全,減少外傷的發生。

3.      若動物本身有下肢靜脈炎或相關疾病時,要提早進行治療。

若是動物為容易發生血栓,則可能需要進行長期的抗凝治療。

相關圖片 <p>&nbsp;<span style="font-family: 'Times New Roman', serif;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;(Fuentes </span><i style="font-family: 'Times New Roman', serif;">et al</i><span style="font-family: 'Times New Roman', serif;">., 2010)</span></p>
<p class="MsoNormal"><span style="mso-bidi-font-size:12.0pt;font-family:標楷體;
mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;">圖一:此為肺血管血栓症之六歲齡沙皮狗胸腔放射線圖象,拍攝方式為背腹照。其有肺血管血栓症並且繼發腎臟疾病,肺臟之右後葉因有纖維化的血管而呈現高明亮影像。</span><span lang="EN-US" style="mso-bidi-font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;
mso-fareast-font-family:標楷體"><o:p></o:p></span></p>
Close<p>&nbsp;<span style="font-family: 'Times New Roman', serif;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;(Fuentes </span><i style="font-family: 'Times New Roman', serif;">et al</i><span style="font-family: 'Times New Roman', serif;">., 2010)</span></p>
<p class="MsoNormal"><span style="mso-bidi-font-size:12.0pt;font-family:標楷體;
mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;">圖一:此為肺血管血栓症之六歲齡沙皮狗胸腔放射線圖象,拍攝方式為背腹照。其有肺血管血栓症並且繼發腎臟疾病,肺臟之右後葉因有纖維化的血管而呈現高明亮影像。</span><span lang="EN-US" style="mso-bidi-font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;
mso-fareast-font-family:標楷體"><o:p></o:p></span></p>

<p>&nbsp;<span style="font-family: 'Times New Roman', serif;">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;(Fuentes </span><i style="font-family: 'Times New Roman', serif;">et al</i><span style="font-family: 'Times New Roman', serif;">., 2010)</span></p> <p class="MsoNormal"><span style="mso-bidi-font-size:12.0pt;font-family:標楷體; mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;">圖一:此為肺血管血栓症之六歲齡沙皮狗胸腔放射線圖象,拍攝方式為背腹照。其有肺血管血栓症並且繼發腎臟疾病,肺臟之右後葉因有纖維化的血管而呈現高明亮影像。</span><span lang="EN-US" style="mso-bidi-font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;; mso-fareast-font-family:標楷體"><o:p></o:p></span></p>


<p>&nbsp;<span style="font-family: 'Times New Roman', serif;">(Fuentes </span><i style="font-family: 'Times New Roman', serif;">et al</i><span style="font-family: 'Times New Roman', serif;">., 2010)</span></p>
<p class="MsoNormal"><span style="mso-bidi-font-size:12.0pt;font-family:標楷體;
mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;">圖二:此為犬隻胸腔斷層掃描影像。患犬有肺血管血栓症,其右肺動脈</span><span lang="EN-US" style="mso-bidi-font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;
mso-fareast-font-family:標楷體"> (</span><span style="mso-bidi-font-size:12.0pt;
font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:
&quot;Times New Roman&quot;">左方箭頭指向處</span><span lang="EN-US" style="mso-bidi-font-size:
12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體">) </span><span style="mso-bidi-font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;
mso-hansi-font-family:&quot;Times New Roman&quot;">呈現擴張並且有邊緣不規則以及密度不均勻的情形。其左肺動脈</span><span lang="EN-US" style="mso-bidi-font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;
mso-fareast-font-family:標楷體"> (</span><span style="mso-bidi-font-size:12.0pt;
font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:
&quot;Times New Roman&quot;">右方箭頭指向處</span><span lang="EN-US" style="mso-bidi-font-size:
12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體">) </span><span style="mso-bidi-font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;
mso-hansi-font-family:&quot;Times New Roman&quot;">相對較小,表示其管腔內灌流有損失。</span><span lang="EN-US" style="mso-bidi-font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;
mso-fareast-font-family:標楷體"><o:p></o:p></span></p>
Close<p>&nbsp;<span style="font-family: 'Times New Roman', serif;">(Fuentes </span><i style="font-family: 'Times New Roman', serif;">et al</i><span style="font-family: 'Times New Roman', serif;">., 2010)</span></p>
<p class="MsoNormal"><span style="mso-bidi-font-size:12.0pt;font-family:標楷體;
mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;">圖二:此為犬隻胸腔斷層掃描影像。患犬有肺血管血栓症,其右肺動脈</span><span lang="EN-US" style="mso-bidi-font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;
mso-fareast-font-family:標楷體"> (</span><span style="mso-bidi-font-size:12.0pt;
font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:
&quot;Times New Roman&quot;">左方箭頭指向處</span><span lang="EN-US" style="mso-bidi-font-size:
12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體">) </span><span style="mso-bidi-font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;
mso-hansi-font-family:&quot;Times New Roman&quot;">呈現擴張並且有邊緣不規則以及密度不均勻的情形。其左肺動脈</span><span lang="EN-US" style="mso-bidi-font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;
mso-fareast-font-family:標楷體"> (</span><span style="mso-bidi-font-size:12.0pt;
font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:
&quot;Times New Roman&quot;">右方箭頭指向處</span><span lang="EN-US" style="mso-bidi-font-size:
12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體">) </span><span style="mso-bidi-font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;
mso-hansi-font-family:&quot;Times New Roman&quot;">相對較小,表示其管腔內灌流有損失。</span><span lang="EN-US" style="mso-bidi-font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;
mso-fareast-font-family:標楷體"><o:p></o:p></span></p>

<p>&nbsp;<span style="font-family: 'Times New Roman', serif;">(Fuentes </span><i style="font-family: 'Times New Roman', serif;">et al</i><span style="font-family: 'Times New Roman', serif;">., 2010)</span></p> <p class="MsoNormal"><span style="mso-bidi-font-size:12.0pt;font-family:標楷體; mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;">圖二:此為犬隻胸腔斷層掃描影像。患犬有肺血管血栓症,其右肺動脈</span><span lang="EN-US" style="mso-bidi-font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;; mso-fareast-font-family:標楷體"> (</span><span style="mso-bidi-font-size:12.0pt; font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family: &quot;Times New Roman&quot;">左方箭頭指向處</span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體">) </span><span style="mso-bidi-font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;; mso-hansi-font-family:&quot;Times New Roman&quot;">呈現擴張並且有邊緣不規則以及密度不均勻的情形。其左肺動脈</span><span lang="EN-US" style="mso-bidi-font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;; mso-fareast-font-family:標楷體"> (</span><span style="mso-bidi-font-size:12.0pt; font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family: &quot;Times New Roman&quot;">右方箭頭指向處</span><span lang="EN-US" style="mso-bidi-font-size: 12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體">) </span><span style="mso-bidi-font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;; mso-hansi-font-family:&quot;Times New Roman&quot;">相對較小,表示其管腔內灌流有損失。</span><span lang="EN-US" style="mso-bidi-font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;; mso-fareast-font-family:標楷體"><o:p></o:p></span></p>


<p><span lang="EN-US" style="font-size:12.0pt;font-family:
&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體;mso-font-kerning:1.0pt;
mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">(<span style="background:white;mso-bidi-font-style:italic">Schwarz T <i>et al</i>., 2008</span>)&nbsp;</span><br />
<a id="fck_paste_padding">  <span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;
mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;;
mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;
mso-bidi-language:AR-SA">圖三:此為犬隻胸腔斷層掃描影像。患犬有肺血管血栓症,其肺臟有實質</span><span lang="EN-US" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;
mso-fareast-font-family:標楷體;mso-font-kerning:1.0pt;mso-ansi-language:EN-US;
mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA"> (</span><span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;
mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;;
mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;
mso-bidi-language:AR-SA">黑色箭頭</span><span lang="EN-US" style="font-size:12.0pt;
font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體;mso-font-kerning:
1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;mso-bidi-language:
AR-SA">) </span><span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:
&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:
&quot;Times New Roman&quot;;mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:
ZH-TW;mso-bidi-language:AR-SA">和擴張的肺葉動脈</span><span lang="EN-US" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:
標楷體;mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;
mso-bidi-language:AR-SA"> (</span><span style="font-size:12.0pt;font-family:
標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;
mso-bidi-font-family:&quot;Times New Roman&quot;;mso-font-kerning:1.0pt;mso-ansi-language:
EN-US;mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">逆時針轉之彎曲白色箭頭</span><span lang="EN-US" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;
mso-fareast-font-family:標楷體;mso-font-kerning:1.0pt;mso-ansi-language:EN-US;
mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">)</span><span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;
mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;;
mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;
mso-bidi-language:AR-SA">,右後肺葉之肺葉動脈</span><span lang="EN-US" style="font-size:
12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體;
mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;
mso-bidi-language:AR-SA"> (</span><span style="font-size:12.0pt;font-family:
標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;
mso-bidi-font-family:&quot;Times New Roman&quot;;mso-font-kerning:1.0pt;mso-ansi-language:
EN-US;mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">順時針轉之彎曲白色箭頭</span><span lang="EN-US" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;
mso-fareast-font-family:標楷體;mso-font-kerning:1.0pt;mso-ansi-language:EN-US;
mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">) </span><span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;
mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;;
mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;
mso-bidi-language:AR-SA">及左右後肺葉靜脈</span><span lang="EN-US" style="font-size:12.0pt;
font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體;mso-font-kerning:
1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;mso-bidi-language:
AR-SA"> (</span><span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:
&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:
&quot;Times New Roman&quot;;mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:
ZH-TW;mso-bidi-language:AR-SA">白色箭頭</span><span lang="EN-US" style="font-size:
12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體;
mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;
mso-bidi-language:AR-SA">) </span><span style="font-size:12.0pt;font-family:
標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;
mso-bidi-font-family:&quot;Times New Roman&quot;;mso-font-kerning:1.0pt;mso-ansi-language:
EN-US;mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">有縮小情形。</span></a></p>
Close<p><span lang="EN-US" style="font-size:12.0pt;font-family:
&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體;mso-font-kerning:1.0pt;
mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">(<span style="background:white;mso-bidi-font-style:italic">Schwarz T <i>et al</i>., 2008</span>)&nbsp;</span><br />
<a id="fck_paste_padding">  <span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;
mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;;
mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;
mso-bidi-language:AR-SA">圖三:此為犬隻胸腔斷層掃描影像。患犬有肺血管血栓症,其肺臟有實質</span><span lang="EN-US" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;
mso-fareast-font-family:標楷體;mso-font-kerning:1.0pt;mso-ansi-language:EN-US;
mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA"> (</span><span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;
mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;;
mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;
mso-bidi-language:AR-SA">黑色箭頭</span><span lang="EN-US" style="font-size:12.0pt;
font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體;mso-font-kerning:
1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;mso-bidi-language:
AR-SA">) </span><span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:
&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:
&quot;Times New Roman&quot;;mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:
ZH-TW;mso-bidi-language:AR-SA">和擴張的肺葉動脈</span><span lang="EN-US" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:
標楷體;mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;
mso-bidi-language:AR-SA"> (</span><span style="font-size:12.0pt;font-family:
標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;
mso-bidi-font-family:&quot;Times New Roman&quot;;mso-font-kerning:1.0pt;mso-ansi-language:
EN-US;mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">逆時針轉之彎曲白色箭頭</span><span lang="EN-US" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;
mso-fareast-font-family:標楷體;mso-font-kerning:1.0pt;mso-ansi-language:EN-US;
mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">)</span><span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;
mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;;
mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;
mso-bidi-language:AR-SA">,右後肺葉之肺葉動脈</span><span lang="EN-US" style="font-size:
12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體;
mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;
mso-bidi-language:AR-SA"> (</span><span style="font-size:12.0pt;font-family:
標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;
mso-bidi-font-family:&quot;Times New Roman&quot;;mso-font-kerning:1.0pt;mso-ansi-language:
EN-US;mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">順時針轉之彎曲白色箭頭</span><span lang="EN-US" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;
mso-fareast-font-family:標楷體;mso-font-kerning:1.0pt;mso-ansi-language:EN-US;
mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">) </span><span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;
mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;;
mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;
mso-bidi-language:AR-SA">及左右後肺葉靜脈</span><span lang="EN-US" style="font-size:12.0pt;
font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體;mso-font-kerning:
1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;mso-bidi-language:
AR-SA"> (</span><span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:
&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:
&quot;Times New Roman&quot;;mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:
ZH-TW;mso-bidi-language:AR-SA">白色箭頭</span><span lang="EN-US" style="font-size:
12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體;
mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;
mso-bidi-language:AR-SA">) </span><span style="font-size:12.0pt;font-family:
標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;
mso-bidi-font-family:&quot;Times New Roman&quot;;mso-font-kerning:1.0pt;mso-ansi-language:
EN-US;mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">有縮小情形。</span></a></p>

<p><span lang="EN-US" style="font-size:12.0pt;font-family: &quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體;mso-font-kerning:1.0pt; mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">(<span style="background:white;mso-bidi-font-style:italic">Schwarz T <i>et al</i>., 2008</span>)&nbsp;</span><br /> <a id="fck_paste_padding"> <span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;; mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;; mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW; mso-bidi-language:AR-SA">圖三:此為犬隻胸腔斷層掃描影像。患犬有肺血管血栓症,其肺臟有實質</span><span lang="EN-US" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;; mso-fareast-font-family:標楷體;mso-font-kerning:1.0pt;mso-ansi-language:EN-US; mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA"> (</span><span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;; mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;; mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW; mso-bidi-language:AR-SA">黑色箭頭</span><span lang="EN-US" style="font-size:12.0pt; font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體;mso-font-kerning: 1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;mso-bidi-language: AR-SA">) </span><span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family: &quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family: &quot;Times New Roman&quot;;mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language: ZH-TW;mso-bidi-language:AR-SA">和擴張的肺葉動脈</span><span lang="EN-US" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family: 標楷體;mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW; mso-bidi-language:AR-SA"> (</span><span style="font-size:12.0pt;font-family: 標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;; mso-bidi-font-family:&quot;Times New Roman&quot;;mso-font-kerning:1.0pt;mso-ansi-language: EN-US;mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">逆時針轉之彎曲白色箭頭</span><span lang="EN-US" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;; mso-fareast-font-family:標楷體;mso-font-kerning:1.0pt;mso-ansi-language:EN-US; mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">)</span><span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;; mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;; mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW; mso-bidi-language:AR-SA">,右後肺葉之肺葉動脈</span><span lang="EN-US" style="font-size: 12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體; mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW; mso-bidi-language:AR-SA"> (</span><span style="font-size:12.0pt;font-family: 標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;; mso-bidi-font-family:&quot;Times New Roman&quot;;mso-font-kerning:1.0pt;mso-ansi-language: EN-US;mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">順時針轉之彎曲白色箭頭</span><span lang="EN-US" style="font-size:12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;; mso-fareast-font-family:標楷體;mso-font-kerning:1.0pt;mso-ansi-language:EN-US; mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">) </span><span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;; mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family:&quot;Times New Roman&quot;; mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW; mso-bidi-language:AR-SA">及左右後肺葉靜脈</span><span lang="EN-US" style="font-size:12.0pt; font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體;mso-font-kerning: 1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW;mso-bidi-language: AR-SA"> (</span><span style="font-size:12.0pt;font-family:標楷體;mso-ascii-font-family: &quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;;mso-bidi-font-family: &quot;Times New Roman&quot;;mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language: ZH-TW;mso-bidi-language:AR-SA">白色箭頭</span><span lang="EN-US" style="font-size: 12.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:標楷體; mso-font-kerning:1.0pt;mso-ansi-language:EN-US;mso-fareast-language:ZH-TW; mso-bidi-language:AR-SA">) </span><span style="font-size:12.0pt;font-family: 標楷體;mso-ascii-font-family:&quot;Times New Roman&quot;;mso-hansi-font-family:&quot;Times New Roman&quot;; mso-bidi-font-family:&quot;Times New Roman&quot;;mso-font-kerning:1.0pt;mso-ansi-language: EN-US;mso-fareast-language:ZH-TW;mso-bidi-language:AR-SA">有縮小情形。</span></a></p>


參考文獻

 1.      Fuentes, Virginia LJ, Lynelle RD. BASAVA manual of canine and feline cardiorespiratory medicine 2nd edition, 2010: 54.

2.      Fuentes, Virginia LJ, Lynelle RD. BASAVA manual of canine and feline cardiorespiratory medicine 2nd edition, 2010: 65.

3.      Schwarz T, Johnson V. BASAVA manual of canine and feline thoracic imaging, 2008: 179.

Richard WN, Couto CG. Small animal internal medicine 5th, 2014: 337-345

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