长春地区犬胰腺炎的临床调查与分析

发布时间：2018-03-06 02:16

本文选题：犬　切入点：胰腺炎　出处：《吉林大学》2017年硕士论文　论文类型：学位论文

【摘要】：犬胰腺炎是指胰腺外分泌的消化酶在病理条件下被激活,对自身组织器官造成损伤,进而导致全身性炎症反应的一种疾病。近年来,胰腺炎逐渐成为犬最常见的消化系统疾病之一。然而,犬胰腺炎的临床特征与引起急腹症的肠道内外疾病的临床特征相类似,且无典型症状的检测方法,鉴别诊断困难。所以为了给病犬提供更完善的诊治方案,这就需要临床兽医对犬胰腺炎做出最快、最准确的鉴别诊断。因此,研究其病因、临床症状、血液学和影像学等诊断性检查项目对临床兽医诊治犬胰腺炎提供理论依据和指导意义。本研究以2015年9月至2016年12月期间吉林大学、德晋、新华、诺雅四家长春地区动物医院诊治的128例犬胰腺炎为基础,进行临床调查与分析。首先,从病例调查、临床症状、实验室和影像学检查结果、治疗和效果方面做了分析,为临床兽医综合分析、鉴别诊断犬胰腺炎提供依据。结果表明:病犬均为成年犬,年龄以3-8岁居多(90/128,70.31%)。雌雄比例为2.37:1。品种以泰迪犬居多(26/128,20.31%)。病犬食高脂肪性食物、人食物的居多(91/128,71.09%),且多数超重(78/128,60.94%);病犬的主要症状有精神沉郁(90/128,70.31%)、食欲减损(116/128,90.63%)、呕吐(95/128,74.22%)和腹痛(77/128,60.16%);SNAP?c PLTM犬胰腺炎快速检测结果均为阳性。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%)经超声检查观察到不同程度的胰腺变化;101例(101/128,78.91%)效果良好,27例死亡(死亡率27/128,21.09%)。其次,选取2个典型的犬胰腺炎病例进行分析。综上所述,以上结果表明高脂肪性食物易导致发病;病犬一旦表现出呕吐和持续性腹痛,一定要判断是否有胰腺炎的发生。首先,应用SNAP?c PLTM犬胰腺炎快速检测试剂进行筛查。其次,通过血常规、血清生化、超声检查进行综合评估;对因治疗、支持性治疗、调整饲养管理方式的治疗效果较好。
[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.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：S858.292

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