本文選題：犬 + 子宮蓄膿�。� 參考：《湖南農(nóng)業(yè)大學(xué)》2015年碩士論文

【摘要】：目的：通過收集寵物醫(yī)院既往的犬子宮蓄膿病例,對(duì)其臨床癥狀、血液學(xué)指標(biāo)、膿汁病原菌及腹部影像結(jié)果進(jìn)行統(tǒng)計(jì)分析,并經(jīng)過臨床實(shí)踐對(duì)典型病例的診斷和治療方案進(jìn)行篩選和優(yōu)化,為臨床上犬子宮蓄膿的診療提供最佳的綜合防治方案。方法：收集寵物醫(yī)院2014年9月至2015年9月的犬子宮蓄膿病例,共計(jì)34例。其中開放型子宮蓄膿28例,閉鎖型子宮蓄膿6例。通過觀察病犬的臨床癥狀,并對(duì)其血細(xì)胞、血液各種功能酶、肌酐、尿素氮等生化指標(biāo)進(jìn)行檢測(cè)及子宮積液的細(xì)菌分離培養(yǎng)和鑒定,最后根據(jù)腹部X線和B超攝影結(jié)果進(jìn)行綜合統(tǒng)計(jì)分析；再通過對(duì)典型病例的診治,將方案進(jìn)行優(yōu)化,制定出最佳的治療方案。結(jié)果：1.臨床觀察情況：博美犬和京巴犬的發(fā)病率最高,約占總病例數(shù)的56%,其次是西施犬、雪納瑞犬,而德牧、金毛、松獅、拉布拉多、哈士奇等大型犬發(fā)病率較低；發(fā)病時(shí)間主要集中在4～7月份和9～11月份,且4～7月份發(fā)病率高于9～11月份發(fā)病率；發(fā)病的平均年齡為7.18歲,該病多發(fā)于中老年犬。2.實(shí)驗(yàn)室檢測(cè)結(jié)果：95%的病犬出現(xiàn)了貧血、炎癥的現(xiàn)象,WBC總數(shù)可升高到50×109/L,最高甚至能達(dá)到100×109/L,其中嗜中性粒細(xì)胞比例高達(dá)80.96%。生化結(jié)果顯示,病犬的堿性磷酸酶(ALP)、谷丙轉(zhuǎn)氨酶(ALT)、γ-谷氨酰轉(zhuǎn)移酶(γ-GGT)肌酐(CRE)、尿素氮(BUN)、甘油三酯(TG)水平顯著高于正常犬,提示其有肝、腎功能的損傷。3.X線和B超檢查結(jié)果：X射線檢查影片中,78%閉鎖型子宮蓄膿可見子宮內(nèi)容物多,子宮膨大明顯,且能夠明顯看到盤旋曲管狀密度陰影擴(kuò)大區(qū)域,而對(duì)開放型子宮蓄膿效果不明顯。B超檢測(cè)影像中有82%的閉鎖型子宮蓄膿病犬出現(xiàn)子宮壁不同程度地增厚,所有子宮腔內(nèi)積蓄大量的液體；開放型子宮蓄膿中有64%的病犬子宮壁有不同程度地增厚。4.病例治療結(jié)果：閉鎖型子宮蓄膿犬先用Ceftriaxone、酚磺乙胺、清宮素進(jìn)行對(duì)癥治療,病情有所好轉(zhuǎn),但之后病情復(fù)發(fā),手術(shù)摘除子宮后,病情解除,且術(shù)后恢復(fù)良好。開放型子宮蓄膿使用慶大霉素、肌苷、縮宮素等對(duì)癥治療,并將膿汁吸出,連續(xù)治療6天后復(fù)查結(jié)果基本正常,至今未復(fù)發(fā)。結(jié)論：1.子宮蓄膿多發(fā)于中、老年的博美犬和京巴犬,在春、秋兩季節(jié)發(fā)病率較高。該易引起患犬貧血和炎癥的發(fā)生,還對(duì)其肝、腎功能一定的損傷作用。B超較X線檢測(cè)對(duì)該病診斷的意義更大。2.對(duì)于體表健康患開放型子宮蓄膿且子宮壁未見增厚的犬只建議采用藥物對(duì)癥治療,輔以消炎；對(duì)于無(wú)需種用,且子宮壁增厚,出現(xiàn)全身癥狀的中老年犬只建議直接手術(shù)摘除子宮。預(yù)防母犬患子宮蓄膿疾病的最佳方法是對(duì)其進(jìn)行絕育手術(shù)。
[Abstract]:Objective: to analyze the clinical symptoms, hematological indexes, pathogenic bacteria of pus and abdominal images of dogs with suppura in pet hospital. Through clinical practice, the diagnosis and treatment of typical cases were screened and optimized to provide the best comprehensive prevention and treatment scheme for the clinical diagnosis and treatment of canine suppura. Methods: from September 2014 to September 2015, 34 dogs with suppura were collected. There were 28 cases of open uterine pus and 6 cases of atresia. The clinical symptoms of the dogs were observed, and the biochemical indexes, such as blood cells, blood enzymes, creatinine, urea nitrogen and so on, were detected, and the bacteria isolated and identified from the uterine effusion were isolated and identified. Finally, according to the results of abdominal X-ray and B-ultrasound, the author makes a comprehensive statistical analysis, and through the diagnosis and treatment of typical cases, optimizes the scheme and formulates the best treatment plan. The result is 1: 1. Clinical observation: the incidence of bome-dog and puppa was the highest, accounting for 56 of the total cases, followed by Cisch dog, Schnauzer dog, German animal husbandry, golden hair, pine lion, Labrador, husky and other large dogs. The incidence rate in April and July was higher than that in September and November, and the average age of onset was 7.18 years old. The results of laboratory tests showed that 95% of the dogs had anaemia, and the total number of WBC increased to 50 脳 10 9 / L, the highest was 100 脳 10 9 / L, and the percentage of neutrophils was as high as 80.96%. The biochemical results showed that the levels of alkaline phosphatase (ALP), alanine aminotransferase (alt), 緯 -GGT creatinine (creatinine), urea nitrogen bun (bun), triglyceride (TGG) in the diseased dogs were significantly higher than those in the normal dogs. Damage to Renal function. 3. X-ray and Ultrasonography results: in the film, 78% of atresia can be seen with large contents, obvious uterine enlargement, and obvious enlargement of the shadow of the spiral tubular density. But the effect of open uterine storage was not obvious. 82% of the dogs with atresia had thickening of uterine wall and a large amount of fluid was accumulated in all uterine lumen. 64% of the canines with open uterine pus had thicker uterine walls to varying degrees. The result of the case treatment: the dogs with atresia were treated with Ceftriaxone, phenolsulfonethylamine and hysterosine, and the condition was improved, but then the disease recurred, the operation removed the uterus, the condition was relieved, and the postoperative recovery was good. Patients with open uterine pus were treated with gentamicin, inosine and oxytocin, and the pus was sucked out. After 6 days of continuous treatment, the results of reexamination were basically normal and had not recurred so far. Conclusion 1. The incidence of sepsis in the middle and middle ages was higher in the spring and autumn. It is easy to cause anemia and inflammation in dogs, and it also damages the liver and kidney function. B ultrasound is more important than X ray examination in the diagnosis of the disease. For dogs with open uterine pus and no thickening of the uterine wall, it is recommended to use medicine to treat the disease with anti-inflammatory effect; for the dogs, the uterine wall is thickened and no species are needed, and the uterine wall is thickened, and the uterine wall is thickened. Middle-aged dogs with systemic symptoms are advised to have their uterus removed directly. The best way to prevent sepsis in female dogs is to sterilize them.
【學(xué)位授予單位】：湖南農(nóng)業(yè)大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：S858.292

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