{"id":29779,"date":"2019-09-20T11:24:42","date_gmt":"2019-09-20T10:24:42","guid":{"rendered":"https:\/\/cram.org\/?page_id=29779"},"modified":"2019-09-20T11:24:43","modified_gmt":"2019-09-20T10:24:43","slug":"bulla-pulmonar","status":"publish","type":"page","link":"https:\/\/cram.org\/ca\/clinica-i-rescat\/medicina-i-cirurgia\/bulla-pulmonar\/","title":{"rendered":"Bulla pulmonar"},"content":{"rendered":"

BULLA PULMONAR<\/strong><\/h1>\n<\/div>
<\/div><\/div><\/div><\/div><\/div>

DADES<\/strong><\/h2>\n<\/div>
  • <\/i><\/span>
    Esp\u00e8cie: Caretta Caretta<\/span><\/div><\/li>
  • <\/i><\/span>
    Nom: Boya<\/span><\/div><\/li>
  • <\/i><\/span>
    \n

    Longitud: 32 cm<\/span><\/p>\n<\/div><\/li>

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    Pes: 4 kg<\/span><\/div><\/li>
  • <\/i><\/span>
    Lloc de recollida: Blanes<\/span><\/div><\/li>
  • <\/i><\/span>
    Data: 30\/09\/1999<\/span><\/div><\/li><\/ul>
    <\/div><\/div><\/div>

    HIST\u00d2RIA<\/strong><\/h2>\n<\/div>

    Aquest animal va ser capturat per una embarcaci\u00f3 de pesca i portat al Centre de Recuperaci\u00f3 de la Fundaci\u00f3. Era incapa\u00e7 de submergir-se per si mateix i presentava apatia i anor\u00e8xia. A causa de la seva patologia se li va posar el nom de Boya.<\/p>\n<\/div><\/div><\/div>

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    <\/path><\/svg><\/div>
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    EXAMEN F\u00cdSIC<\/strong><\/h2>\n<\/div>

    De l’examen f\u00edsic cal ressaltar la pres\u00e8ncia d’un ham allotjat en l’aparell digestiu i una flotaci\u00f3 positiva cabal. La condici\u00f3 corporal era bona i no hi havia lesions externes.<\/p>\n<\/div>

    <\/div><\/div><\/div>

    DIAGN\u00d2STIC<\/strong><\/h2>\n<\/div>

    Ham allotjat en aparell digestiu. Possible timpanisme intestinal produ\u00eft per estr\u00e8s i manipulaci\u00f3.<\/span><\/p>\n<\/div>

    TRACTAMENT<\/strong><\/h2>\n<\/div>

    Es va operar a l’animal per a extreure l’ham i es va mantenir les primeres 2 setmanes amb antibioterapia de cobertura. A m\u00e9s, es va afegir un antiflatulent per a tractar el meteorisme.<\/p>\n<\/div>

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    <\/path><\/svg><\/div>
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    EVOLUCI\u00d3<\/strong><\/h2>\n<\/div>

    Boya va evolucionar correctament de la cirurgia per\u00f2 el timpanisme, l’anor\u00e8xia i la flotaci\u00f3 positiva no van remetre, per la qual cosa es va sotmetre a l’animal a estudis radiogr\u00e0fics amb contrast i tomografia automatitzada, on es va observar un una gatzara (cavitat plena d’aire en pulm\u00f3, amb o sense trencament de les parets dels alv\u00e8ols) a nivell cabal del pulm\u00f3 esquerre. Ja que no resolia, es va decidir fer una celiotomia explorat\u00f2ria (obertura de la cavitat cel\u00f3mica per a realitzar una exploraci\u00f3 directa dels \u00f2rgans interns), per\u00f2 no va resultar concloent.<\/p>\n

    No obstant aix\u00f2, despr\u00e9s de la intervenci\u00f3 l’animal va comen\u00e7ar a millorar i en realitzar-se una radiografia postoperat\u00f2ria la gatzara s’havia resolt. L’animal va quedar ingressat fins a la seva recuperaci\u00f3 completa i va ser alliberat en perfecte estat de flotabilitat i salut.<\/p>\n

    No obstant aix\u00f2, 2 anys despr\u00e9s Boya va tornar a ser capturada en el Delta de l’Ebre per un pescador de tresmall. En aquesta ocasi\u00f3 estava en perfectes condicions i va poder ser alliberada 2 setmanes despr\u00e9s del seu nou ingr\u00e9s.<\/p>\n<\/div>

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    <\/div>
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    COMENTARIS<\/strong><\/h2>\n<\/div>

    La causa de la gatzara pulmonar en el cas de Boya no va poder ser determinada. Hi ha moltes etiologies que poden produir un bloqueig de la sortida de l’aire en una zona determinada del pulm\u00f3, fent que aquesta s’expandeixi, causant aquesta patologia. En aquest cas, i lloc que va resoldre despr\u00e9s d’una anest\u00e8sia amb ventilaci\u00f3 positiva, cal suposar que la causa pogu\u00e9s ser algun tipus d’obstrucci\u00f3 dins de la via a\u00e8ria (moc, focus parasitari\u2026) que va ser mogut del lloc en entrar l’aire als pulmons de forma for\u00e7ada.<\/p>\n

    En cas de no haver-se resolt el tractament consistiria en la perforaci\u00f3 de la closca sobre la zona dilatada per a permetre que l’aire surti a l’exterior. Posteriorment s’aplicaria una soluci\u00f3 mucol\u00edtica per a eliminar possibles taps mucosos i se segellaria l’orifici.<\/p>\n<\/div>

    <\/div><\/div><\/div>

    INFORMACI\u00d3 COMPLEMENT\u00c0RIA<\/strong><\/h2>\n<\/div>
    \"\"<\/div><\/div>
    <\/div>
    \n

    La tortuga era incapa\u00e7 de submergir-se amb normalitat i surava amb la porci\u00f3 cabal esquerra per sobre de la superf\u00edcie de l’aigua.<\/p>\n<\/div><\/div><\/div>

    <\/div><\/div>
    <\/div><\/div><\/div>
    \"\"<\/div><\/div>
    <\/div>
    \n

    Radiografia de contrast per a descartar que l’aire estigu\u00e9s allotjat en aparell digestiu (timpanisme).<\/p>\n<\/div><\/div><\/div>

    \"\"<\/div><\/div>
    <\/div>
    \n

    Radiografia convencional. L’\u00e0rea arrodonida m\u00e9s radiotransparent (negra) correspon a la gatzara pulmonar.<\/p>\n<\/div><\/div><\/div>

    <\/div><\/div>
    <\/div><\/div><\/div>
    \"\"<\/div><\/div>
    <\/div>
    \n

    La tortuga sobre la llitera de l’aparell de tomografia.<\/p>\n<\/div><\/div><\/div>

    \"\"<\/div><\/div>
    <\/div>
    \n

    Corts de la tomografia automatitzada. Pot observar-se la gatzara en la porci\u00f3 lateral del pulm\u00f3 esquerre.<\/p>\n<\/div><\/div><\/div>

    \"\"<\/div><\/div>
    <\/div>
    \n

    Porci\u00f3 d’intest\u00ed exterioritzat per al seu examen visual durant la celiotom\u00eda.<\/p>\n<\/div><\/div><\/div>

    <\/div><\/div>
    <\/div><\/div><\/div><\/div><\/div><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":5110,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"footnotes":"","_members_access_role":[],"_members_access_error":""},"class_list":["post-29779","page","type-page","status-publish","hentry"],"yoast_head":"\nBulla pulmonar - CRAM<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cram.org\/ca\/clinica-i-rescat\/medicina-i-cirurgia\/bulla-pulmonar\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bulla pulmonar - CRAM\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cram.org\/ca\/clinica-i-rescat\/medicina-i-cirurgia\/bulla-pulmonar\/\" \/>\n<meta property=\"og:site_name\" content=\"CRAM\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/fundacioncram\" \/>\n<meta property=\"article:modified_time\" content=\"2019-09-20T10:24:43+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/cram.org\/wp-content\/uploads\/2013\/12\/logo-CRAM.png\" \/>\n\t<meta property=\"og:image:width\" content=\"420\" \/>\n\t<meta property=\"og:image:height\" content=\"79\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@crampress\" \/>\n<meta name=\"twitter:label1\" content=\"Temps estimat de lectura\" \/>\n\t<meta name=\"twitter:data1\" content=\"18 minuts\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/cram.org\\\/ca\\\/clinica-i-rescat\\\/medicina-i-cirurgia\\\/bulla-pulmonar\\\/\",\"url\":\"https:\\\/\\\/cram.org\\\/ca\\\/clinica-i-rescat\\\/medicina-i-cirurgia\\\/bulla-pulmonar\\\/\",\"name\":\"Bulla pulmonar - 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