2012-2016年嘉義市某動物醫(yī)院犬心絲蟲病部分病例的診治與分析
本文選題:犬 + 心絲蟲。 參考:《西北農(nóng)林科技大學》2017年碩士論文
【摘要】:心絲蟲病(Heartworm disease)又稱惡絲蟲病(Dirofilariasis),是由心絲蟲(Dirofilaria immitis)引起的一種人畜共患病。心絲蟲的宿主有多樣性,主要包括犬、貓、狐貍、狼等。心絲蟲病可導致病犬肺臟病變和右心衰竭,威脅動物的生命健康。犬心絲蟲幼蟲進入人體后會沉積在肺部形成特殊性肉芽腫,這個肺部的結(jié)節(jié)影像可能會被誤診為腫瘤。心絲蟲病呈世界流行性,主要影響溫帶、熱帶和亞熱帶地區(qū)。近些年,犬的心絲蟲病發(fā)病率呈增長趨勢,造成這種結(jié)果的因素很多,如全球氣候變暖,不同地區(qū)動物之間的遷徙。國內(nèi)有很多地區(qū)的犬均受到心絲蟲病的威脅。論文通過對兩例典型心絲蟲病的診治以及對臺灣嘉義市某動物醫(yī)院41例犬心絲蟲病的病例進行綜合分析,總結(jié)犬心絲蟲病的診治經(jīng)驗和發(fā)病規(guī)律,為臨床上犬心絲蟲病的診治提供參考。獲得以下結(jié)果:1.一例疑似心臟病的患犬經(jīng)過心絲蟲抗原檢查、微絲蚴檢查、X-ray檢查、心臟超聲波檢查等診斷方法,最終確診病犬患3級心絲蟲病。給予強心、降壓、利尿等藥物改善心血管功能,待病犬心臟病病情穩(wěn)定后開始驅(qū)蟲計劃。經(jīng)治療后該病犬的淤血性心衰病情得到控制,驅(qū)蟲4個月后心絲蟲抗原和微絲蚴檢查結(jié)果為陰性。2.一例疑似子宮蓄膿癥的病犬經(jīng)過經(jīng)X-ray檢查、超聲波檢查、心絲蟲抗原檢查、等診斷方法,最終確診病犬患2級心絲蟲病,并發(fā)閉合性子宮蓄膿癥。手術摘除病變子宮,給予抗生素、補血藥來控制感染和改善貧血情況,術后8 d病犬身體恢復良好后開始驅(qū)蟲計劃。經(jīng)治療后該病犬的傷口恢復良好,驅(qū)蟲4個月后心絲蟲抗原和微絲蚴檢查結(jié)果為陰性。3.通過對臺灣嘉義市某動物醫(yī)院41例犬心絲蟲病的病例進行綜合分析,結(jié)果表明,多數(shù)品種的犬都有感染心絲蟲的風險,未成年犬的心絲蟲病發(fā)病率低,7歲左右犬的心絲蟲病發(fā)病率較高;嘉義市的犬一年四季均可感染心絲蟲,但秋、冬季發(fā)病率較春、夏季高;定期服用預防心絲蟲的藥物可有效預防心絲蟲病;患心絲蟲病的病犬要限制運動,待病犬的病情相對平穩(wěn)時,再進行驅(qū)蟲計劃。分析結(jié)果還顯示,80%以上的犬心絲蟲病會導致輕度貧血和感染。
[Abstract]:Heart filariasis worm disease, also known as Dirofilariasis, is a zoonosis caused by Dirofilaria immitis.The host of heart filarial is diverse, including dog, cat, fox, wolf and so on.Cardiac filariasis can lead to lung disease and right heart failure in dogs, threatening the life and health of animals.Specific granuloma is formed in the lungs when the filarial larvae enter the human body, and the nodule image of the lung may be misdiagnosed as a tumor.Cardiac filariasis is a worldwide epidemic, mainly affecting temperate, tropical and subtropical regions.In recent years, the incidence of cardiac filariasis in dogs is on the rise, which is caused by many factors, such as global warming and animal migration in different regions.Dogs in many parts of the country are threatened by cardiac filariasis.In this paper, two typical cases of cardiac filariasis and 41 cases of canine cardiac filariasis in a certain animal hospital in Jiayi City, Taiwan, were analyzed, and the experience of diagnosis and treatment of canine cardiac filariasis was summarized.To provide reference for clinical diagnosis and treatment of canine cardiac filariasis.Get the following result: 1.A dog with suspected heart disease was diagnosed with grade 3 cardiac filariasis by examination of cardiac filariasis antigen, microfilariasis by X-ray and ultrasonic examination of heart.Improve cardiovascular function with cardioversion, hypotension, diuresis, etc.After treatment, the condition of congestive heart failure in dogs was controlled, and the results of antigens and microfilariae were negative after 4 months of deworming.A case of suspected sepsis was diagnosed by means of X-ray, ultrasonic examination, cardiac filariasis antigen examination and so on. It was finally diagnosed that the canine suffered from grade 2 cardiac filariasis and complicated with closed sepsis.The diseased uterus was removed, antibiotics and blood tonic were given to control infection and improve anemia. After 8 days of operation, the diseased dog recovered well and began the deworming plan.After treatment, the wound of the dog recovered well, and the results of cardiac filarial antigen and microfilariae were negative after 4 months of deworming.Through a comprehensive analysis of 41 cases of canine heart filariasis in an animal hospital in Jiayi, Taiwan, the results show that most breeds of dogs are at risk of infection with cardiac filariasis.The incidence of cardiac filariasis in dogs was lower than that in dogs about 7 years of age, and the incidence of heart filariasis in dogs in Jiayi was higher than that in spring and summer, but the incidence of heart filariasis in autumn and winter was higher than that in spring and summer.Regular use of drugs to prevent cardiac filariasis can effectively prevent cardiac filariasis. Dogs suffering from cardiac filariasis should restrict their exercise and plan to control the disease when the disease dog's condition is relatively stable.The results also showed that more than 80% of canine heart filariasis could lead to mild anemia and infection.
【學位授予單位】:西北農(nóng)林科技大學
【學位級別】:碩士
【學位授予年份】:2017
【分類號】:S858.292
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