2012-2016年嘉义市某动物医院犬心丝虫病部分病例的诊治与分析

发布时间：2018-04-11 08:15

本文选题：犬 + 心丝虫　；参考：《西北农林科技大学》2017年硕士论文

【摘要】：心丝虫病(Heartworm disease)又称恶丝虫病(Dirofilariasis),是由心丝虫(Dirofilaria immitis)引起的一种人畜共患病。心丝虫的宿主有多样性,主要包括犬、猫、狐狸、狼等。心丝虫病可导致病犬肺脏病变和右心衰竭,威胁动物的生命健康。犬心丝虫幼虫进入人体后会沉积在肺部形成特殊性肉芽肿,这个肺部的结节影像可能会被误诊为肿瘤。心丝虫病呈世界流行性,主要影响温带、热带和亚热带地区。近些年,犬的心丝虫病发病率呈增长趋势,造成这种结果的因素很多,如全球气候变暖,不同地区动物之间的迁徙。国内有很多地区的犬均受到心丝虫病的威胁。论文通过对两例典型心丝虫病的诊治以及对台湾嘉义市某动物医院41例犬心丝虫病的病例进行综合分析,总结犬心丝虫病的诊治经验和发病规律,为临床上犬心丝虫病的诊治提供参考。获得以下结果:1.一例疑似心脏病的患犬经过心丝虫抗原检查、微丝蚴检查、X-ray检查、心脏超声波检查等诊断方法,最终确诊病犬患3级心丝虫病。给予强心、降压、利尿等药物改善心血管功能,待病犬心脏病病情稳定后开始驱虫计划。经治疗后该病犬的淤血性心衰病情得到控制,驱虫4个月后心丝虫抗原和微丝蚴检查结果为阴性。2.一例疑似子宫蓄脓症的病犬经过经X-ray检查、超声波检查、心丝虫抗原检查、等诊断方法,最终确诊病犬患2级心丝虫病,并发闭合性子宫蓄脓症。手术摘除病变子宫,给予抗生素、补血药来控制感染和改善贫血情况,术后8 d病犬身体恢复良好后开始驱虫计划。经治疗后该病犬的伤口恢复良好,驱虫4个月后心丝虫抗原和微丝蚴检查结果为阴性。3.通过对台湾嘉义市某动物医院41例犬心丝虫病的病例进行综合分析,结果表明,多数品种的犬都有感染心丝虫的风险,未成年犬的心丝虫病发病率低,7岁左右犬的心丝虫病发病率较高;嘉义市的犬一年四季均可感染心丝虫,但秋、冬季发病率较春、夏季高;定期服用预防心丝虫的药物可有效预防心丝虫病;患心丝虫病的病犬要限制运动,待病犬的病情相对平稳时,再进行驱虫计划。分析结果还显示,80%以上的犬心丝虫病会导致轻度贫血和感染。
[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.
【学位授予单位】：西北农林科技大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：S858.292

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