長春地區(qū)犬胰腺炎的臨床調(diào)查與分析
本文選題:犬 切入點:胰腺炎 出處:《吉林大學(xué)》2017年碩士論文 論文類型:學(xué)位論文
【摘要】:犬胰腺炎是指胰腺外分泌的消化酶在病理條件下被激活,對自身組織器官造成損傷,進而導(dǎo)致全身性炎癥反應(yīng)的一種疾病。近年來,胰腺炎逐漸成為犬最常見的消化系統(tǒng)疾病之一。然而,犬胰腺炎的臨床特征與引起急腹癥的腸道內(nèi)外疾病的臨床特征相類似,且無典型癥狀的檢測方法,鑒別診斷困難。所以為了給病犬提供更完善的診治方案,這就需要臨床獸醫(yī)對犬胰腺炎做出最快、最準(zhǔn)確的鑒別診斷。因此,研究其病因、臨床癥狀、血液學(xué)和影像學(xué)等診斷性檢查項目對臨床獸醫(yī)診治犬胰腺炎提供理論依據(jù)和指導(dǎo)意義。本研究以2015年9月至2016年12月期間吉林大學(xué)、德晉、新華、諾雅四家長春地區(qū)動物醫(yī)院診治的128例犬胰腺炎為基礎(chǔ),進行臨床調(diào)查與分析。首先,從病例調(diào)查、臨床癥狀、實驗室和影像學(xué)檢查結(jié)果、治療和效果方面做了分析,為臨床獸醫(yī)綜合分析、鑒別診斷犬胰腺炎提供依據(jù)。結(jié)果表明:病犬均為成年犬,年齡以3-8歲居多(90/128,70.31%)。雌雄比例為2.37:1。品種以泰迪犬居多(26/128,20.31%)。病犬食高脂肪性食物、人食物的居多(91/128,71.09%),且多數(shù)超重(78/128,60.94%);病犬的主要癥狀有精神沉郁(90/128,70.31%)、食欲減損(116/128,90.63%)、嘔吐(95/128,74.22%)和腹痛(77/128,60.16%);SNAP?c PLTM犬胰腺炎快速檢測結(jié)果均為陽性。WBC值升高90例(90/128,70.31%),MO值降低110例(110/128,85.94%),PCV值升高89例(89/128,69.53%)。ALKP值升高76例(76/128,59.38%),AMYL值升高102例(102/128,79.69%),LIPA值升高112例(112/128,87.50%),GLU值升高77例(77/128,60.16%)。除此之外,有53例(53/102,51.96%)AMYL值升高3~5倍,75例(75/112,66.96%)LIPA值升高3~5倍;31例(31/128,24.22%)經(jīng)超聲檢查觀察到不同程度的胰腺變化;101例(101/128,78.91%)效果良好,27例死亡(死亡率27/128,21.09%)。其次,選取2個典型的犬胰腺炎病例進行分析。綜上所述,以上結(jié)果表明高脂肪性食物易導(dǎo)致發(fā)病;病犬一旦表現(xiàn)出嘔吐和持續(xù)性腹痛,一定要判斷是否有胰腺炎的發(fā)生。首先,應(yīng)用SNAP?c PLTM犬胰腺炎快速檢測試劑進行篩查。其次,通過血常規(guī)、血清生化、超聲檢查進行綜合評估;對因治療、支持性治療、調(diào)整飼養(yǎng)管理方式的治療效果較好。
[Abstract]:Pancreatitis in dogs is a disease in which pancreatic exocrine digestive enzymes are activated under pathological conditions, causing damage to their own tissues and organs, and thus leading to systemic inflammation. Pancreatitis has gradually become one of the most common diseases of the digestive system in dogs. However, the clinical characteristics of pancreatitis in dogs are similar to those of internal and external diseases causing acute abdomen, and there is no method for the detection of typical symptoms. Differential diagnosis is difficult. Therefore, in order to provide a better diagnosis and treatment for dogs, it is necessary for clinical veterinarians to make the fastest and most accurate differential diagnosis of canine pancreatitis. The diagnostic examination items, such as hematology and imaging, provide theoretical basis and guidance for clinical veterinary diagnosis and treatment of canine pancreatitis. This study was conducted from September 2015 to December 2016 in Jilin University, Dejin, Xinhua. On the basis of 128 cases of canine pancreatitis diagnosed and treated in four Changchun animal hospitals, the clinical investigation and analysis were carried out. First of all, the results of case investigation, clinical symptoms, laboratory and imaging examinations, treatment and effects were analyzed. The results showed that the diseased dogs were all adult dogs, and 90 / 128U / 70.31s were mostly aged 3-8 years old. The ratio of female to male was 2.37: 1. The most common breed was Teddy dog (26 / 128- 20.31). The diseased dog ate high fat food. The majority of human food is 91 / 128 / 71.09, and most of them are overweight 78 / 128 / 60.944; the main symptoms of sick dogs are depression 90 / 128 / 70.31, appetite loss / loss of appetite / 116 / 128 / 90.63 / 90.63, vomiting 95 / 95 / 12874.22 /) and abdominal pain 77128n / 60.16C / SNAP? The rapid detection results of c PLTM canine pancreatitis were all positive. WBC value increased in 90 cases 90% 128% 70.31C decreased in 110 cases (110 / 128 85.94%) and 89 cases increased 89% (89 / 12 89.53). The value of AMYL increased in 76 cases (76 / 12859.38). 102 cases increased AMYL value in 102 cases (102 / 102 / 128) 79.699.699.699.699.699.699.699.699.69A of 112 cases (112 cases) increased the value of GLU in 112 cases, 77 cases increased 77 cases (7712887.50g / kg). In addition, the value of GLU increased in 77 cases (7712887.50g / kg). In addition, the value of AMYL was increased in 102 cases (10212879.699.69%). In addition, there were 77 cases of increase in GLU value in 77 cases. There were 53 cases of 53 / 102n 51.96 and 75 cases of 75 / 75 / 112 / 66.96 / LIPA / 31 / 31 / 31 / 31 / 101 / 101 / 101 / 101 / 101 / 101 / 101 / 101 / 101 / 101 / 101 / 101 / 101 / 101 / 101 / 101 / 101 / 101 / 101 / 101 / 10112878.911 / 75 / 75 / 112 / 66.96 / 75 / 75 / 66.96 / 75 / 65 / 66.96 / 75, respectively. Second, 27 / 12821.09s / (27 / 1281.09B) were observed. Two typical canine pancreatitis cases were selected for analysis. In summary, the above results show that high fat food can easily lead to morbidity; once the sick dog shows vomiting and persistent abdominal pain, it is necessary to judge whether there is pancreatitis. First, Application SNAP? C PLTM canine pancreatitis rapid detection reagent screening. Secondly, through blood routine, serum biochemical, ultrasonic examination for comprehensive evaluation; for the treatment of treatment, supportive treatment, adjustment of feeding and management of the treatment is better.
【學(xué)位授予單位】:吉林大學(xué)
【學(xué)位級別】:碩士
【學(xué)位授予年份】:2017
【分類號】:S858.292
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