犬子宫蓄脓案例分析及诊疗措施的探讨

发布时间：2018-05-10 22:37

本文选题：犬 + 子宫蓄脓　；参考：《湖南农业大学》2015年硕士论文

【摘要】：目的：通过收集宠物医院既往的犬子宫蓄脓病例,对其临床症状、血液学指标、脓汁病原菌及腹部影像结果进行统计分析,并经过临床实践对典型病例的诊断和治疗方案进行筛选和优化,为临床上犬子宫蓄脓的诊疗提供最佳的综合防治方案。方法：收集宠物医院2014年9月至2015年9月的犬子宫蓄脓病例,共计34例。其中开放型子宫蓄脓28例,闭锁型子宫蓄脓6例。通过观察病犬的临床症状,并对其血细胞、血液各种功能酶、肌酐、尿素氮等生化指标进行检测及子宫积液的细菌分离培养和鉴定,最后根据腹部X线和B超摄影结果进行综合统计分析；再通过对典型病例的诊治,将方案进行优化,制定出最佳的治疗方案。结果：1.临床观察情况：博美犬和京巴犬的发病率最高,约占总病例数的56%,其次是西施犬、雪纳瑞犬,而德牧、金毛、松狮、拉布拉多、哈士奇等大型犬发病率较低；发病时间主要集中在4～7月份和9～11月份,且4～7月份发病率高于9～11月份发病率；发病的平均年龄为7.18岁,该病多发于中老年犬。2.实验室检测结果：95%的病犬出现了贫血、炎症的现象,WBC总数可升高到50×109/L,最高甚至能达到100×109/L,其中嗜中性粒细胞比例高达80.96%。生化结果显示,病犬的碱性磷酸酶(ALP)、谷丙转氨酶(ALT)、γ-谷氨酰转移酶(γ-GGT)肌酐(CRE)、尿素氮(BUN)、甘油三酯(TG)水平显著高于正常犬,提示其有肝、肾功能的损伤。3.X线和B超检查结果：X射线检查影片中,78%闭锁型子宫蓄脓可见子宫内容物多,子宫膨大明显,且能够明显看到盘旋曲管状密度阴影扩大区域,而对开放型子宫蓄脓效果不明显。B超检测影像中有82%的闭锁型子宫蓄脓病犬出现子宫壁不同程度地增厚,所有子宫腔内积蓄大量的液体；开放型子宫蓄脓中有64%的病犬子宫壁有不同程度地增厚。4.病例治疗结果：闭锁型子宫蓄脓犬先用Ceftriaxone、酚磺乙胺、清宫素进行对症治疗,病情有所好转,但之后病情复发,手术摘除子宫后,病情解除,且术后恢复良好。开放型子宫蓄脓使用庆大霉素、肌苷、缩宫素等对症治疗,并将脓汁吸出,连续治疗6天后复查结果基本正常,至今未复发。结论：1.子宫蓄脓多发于中、老年的博美犬和京巴犬,在春、秋两季节发病率较高。该易引起患犬贫血和炎症的发生,还对其肝、肾功能一定的损伤作用。B超较X线检测对该病诊断的意义更大。2.对于体表健康患开放型子宫蓄脓且子宫壁未见增厚的犬只建议采用药物对症治疗,辅以消炎；对于无需种用,且子宫壁增厚,出现全身症状的中老年犬只建议直接手术摘除子宫。预防母犬患子宫蓄脓疾病的最佳方法是对其进行绝育手术。
[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), 纬 -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.
【学位授予单位】：湖南农业大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：S858.292

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