58例犬尿石症的病症分析及诊疗方法探讨

发布时间：2018-07-04 17:18

本文选题：犬 + 尿石症　；参考：《西北农林科技大学》2015年硕士论文

【摘要】：犬尿石症是一种会导致犬的尿路黏膜出血、发炎和堵塞的泌尿系统疾病,是由于无机盐类的结晶在尿路中形成了凝结物,从而刺激尿路黏膜所引发。近年来,随着人们生活水平的提高,宠物饲养在我国越来越多,而犬所占的饲养比例较大,犬尿石症常有发生,并时有因结石导致死亡的病例。该病的主要发病部位有膀胱、尿道、肾盂和输尿管。犬尿石症的发生与患犬的年龄、性别、品种等有一定关系,通过临床检查及影像学检查,可对该病进行确诊。保守治疗可根据发病情况去选择用药,也可选择手术治疗来解决患犬的病痛。本文收集了2010年5月至2014年5月间,太原博爱宠物医院和太原惠心宠物医院收治的58例犬尿结石病例作为研究对象,对病例进行归纳总结发现:发病的临床症状主要为腹痛(28例)、尿频(30例);膀胱结石(25例)、尿道结石(18例)和肾结石(10例)多发;常见于5~9年龄犬只(39例)的京巴犬(14例)、贵妇犬(12例)和博美犬(6例);发病与季节和饮食有关。58例犬尿结石病例临床上普遍表现尿频、尿淋漓、尿痛和尿血等症状,怀疑为尿石症,尿道触诊检查到坚硬的结石、X光照片上看到高密度的影像和B超检查中有强的回声,并且有伪影就可确诊患尿石症,并能确定结石的大小及发病部位。58例病例通过触诊确诊21例,通过X线检查确诊49例,只通过B超检查确诊9例。治疗时,对于结石颗粒比小的,可以通过改变尿液酸碱程度,溶解结石的病例,采取消炎、利尿、酸化或碱化尿液等手段进行保守治疗,共治疗30例,治愈16例,治疗效果不良,改用手术诊疗11例。手术共治疗39例,治愈18例,有6例复发。
[Abstract]:Canine urolithiasis is a urinary tract disease that causes bleeding, inflammation and clogging in the dog's urinary tract. It is caused by the crystallization of inorganic salts in the urinary tract, which stimulates the urinary tract mucosa. In recent years, with the improvement of people's living standards, more and more pets are raised in our country, and the feeding proportion of dogs is larger. Urolithiasis often occurs in dogs with cases of death caused by stones. The main site of the disease is bladder, urethra, renal pelvis and ureter. The occurrence of ureteral disease in dogs is related to the age, sex, and variety of the dog. The disease can be confirmed by clinical examination and imaging examination. Conservative treatment may be based on the incidence of the disease. In this article, 58 cases of canine urinary calculi admitted from May 2010 to May 2014, Taiyuan Bo love pet hospital and Taiyuan Huixin pet hospital were selected as the research object. The cases were summarized and concluded that the main clinical symptoms of the disease were abdominal pain (28 cases) and frequency of urine (30 cases). Bladder stones (25 cases), urethral stones (18 cases) and renal calculi (10 cases); common in the 5~9 age (39 cases) of the Beijing BA (14 cases), the ladies (12 cases) and the BOM dog (6 cases); the disease and the season and diet related to the.58 cases of dog urine stone cases generally show the symptoms of urinary frequency, urine dripping, urine pain and urine blood, suspected of urethra disease, urethral touch Diagnosis of hard stones, X - ray images of high density images and B ultrasound examination have strong echo, and a pseudo-shadow can be diagnosed with urolithiasis, and can determine the size of the stone and the location of.58 cases by palpation confirmed by X - ray examination of the diagnosis of 21 cases, only through B ultrasound diagnosis of 9 cases. Treatment, for calculi tablets By changing the degree of urine and alkalinity, by changing the degree of uric acid and alkali, dissolving stone cases, taking anti-inflammatory, diuresis, acidification, or alkaline urine, conservative treatment, 30 cases were treated, 16 cases were cured, 11 cases were treated with surgical treatment, 39 cases were treated with surgical treatment, 18 cases were cured, 6 cases had relapse.
【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】：2015
【分类号】：S858.292

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