犬急慢性肾功能衰竭的临床病案分析

发布时间：2017-12-27 21:15

本文关键词：犬急慢性肾功能衰竭的临床病案分析　出处：《新疆农业大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:本研究旨在为广大宠物临床从业者提供行之有效的诊疗急慢性肾功能衰竭的方案。本研究在归纳和整理了国内外相关文献的基础上,结合了笔者本人在临床工作中收集到的犬急慢性肾功能衰竭37例肾功能衰竭患犬病例,针对其中较典型的、资料相对完整的4例病例进行总结分析报道。方法:本研究主要应用了物理学检查、生化检查、血常规检查、血气分析、尿常规检查、影像学检查对临床上前来就诊的疑似病例进行检测诊断,在确诊之后针对患畜的情况采取静脉输液疗法,个别病例需结合使用手术疗法。结果:接受治疗的四例典型病例中,一例因膀胱嵌闭引发的急性肾功能衰竭患犬与另一例因为胰腺炎导致急性肾功能衰竭的患犬均痊愈出院,预后良好;一例肾结石并发子宫蓄脓症的慢性肾功能衰竭患犬血液学指标(肌酐、尿素氮等)恢复到可以接受程度回家调养,电话回访状态良好,另一例慢性肾衰患犬经救治无效死亡,剖检,做肾脏组织切片显示肾实质纤维化、肾小球萎缩坏死等明显的肾脏组织损伤。结论:本研究内容所采用的诊疗方案很大程度上受到畜主接受能力的影响,对诊断和治疗结果也产生很大的负面效应。针对急性肾衰及时发现并去除病因之后,肾功能一般可以恢复到正常水平;针对慢性肾衰诊疗目的在于延长患畜生存时间、提高其生活质量,长期、高质量的护理对于延长患畜的生命十分重要。
[Abstract]:Objective: the purpose of this study is to provide an effective scheme for the diagnosis and treatment of acute and chronic renal failure for the clinical practitioners of pet. In this study, summarize the related literatures at home and abroad, combined with the author in the clinical work to collect canine acute and chronic renal failure in 37 cases of renal failure in dogs were analyzed according to the reports of typical data, relatively complete in 4 cases. Methods: in this study, the main application of the physical examination, biochemical examination, blood routine examination, urine routine examination, blood gas analysis, detection and diagnosis of suspected cases of clinical visits for imaging examination, intravenous infusion therapy for the patient's condition to take after diagnosis, individual cases combined with surgical therapy. Results: the typical cases of the four patients, one case of acute kidney bladder incarcerated caused failure in dogs and other cases because of pancreatitis caused acute renal failure in dogs were cured, the prognosis is good; a case of renal calculi associated with pyometra in dogs suffering from chronic renal failure of Hematology (index of creatinine and urea nitrogen) back to acceptable degree of home rehabilitation, telephone return in good condition, other cases of chronic renal failure in dogs after treatment and death, autopsy, renal biopsy showed that renal fibrosis, glomerular atrophy and necrosis and obvious kidney damage. Conclusion: the diagnosis and treatment plan adopted in this study is largely influenced by the acceptability of the livestock owners, and it also has a great negative effect on the diagnosis and treatment. For acute renal failure, after timely discovery and removal of etiological factors, renal function can generally return to normal level. For chronic renal failure, the aim of diagnosis and treatment is to prolong the survival time and improve the quality of life of patients. Long term and high quality care is very important for prolonging the life of livestock.
【学位授予单位】：新疆农业大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：S858.292

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