一例犬艾迪森病的诊断与治疗
Diagnosis and Treatment of a Case of Canine Addison's Disease
张倩 1楚电峰 1赵修龙 2阮国宏 1王秀妮 1胡潇1
作者信息
- 1. 青岛易邦生物工程有限公司,山东青岛 266113
- 2. 青岛厚德初心动物医院有限公司,山东青岛 266109
- 折叠
摘要
2023年 1月22 日,1只4 岁雌性比熊犬出现呕吐、吐黄水、食欲减退、体质量下降等症状.通过临床观察、血常规检查、生化检测、电解质检测和促肾上腺皮质激素(ACTH)刺激试验进行诊断.血常规检查结果显示,红细胞压积和红细胞数目升高,提示患犬严重脱水;生化检测结果显示,肌酐、尿素氮含量增加,提示患犬肾功能异常;电解质检测结果显示,患犬出现低钠、高钾与低氯血症,为艾迪森特征性血症;ACTH刺激试验结果显示,肾上腺皮质机能减退.综合上述结果,确诊该犬患有艾迪森病.通过止吐,纠正低血压和低血容量,调节电解质平衡,纠正低血糖,增强食欲以及皮下注射地塞米松磷酸钠注射液或口服波尼松龙片等进行治疗,患犬预后良好.本病例为犬艾迪森病的诊断分析与治疗方案制定提供了参考.
Abstract
On January 22,2023,some symptoms including emesis,yellow water exudation,decreased appetite and weight loss were found in a 4-year-old female Bichon Frise that was diagnosed subsequently through clinical observation,blood routine examination,biochemical test,electrolyte test and adrenocorticotropic hormone(ACTH)stimulation test.Blood routine results showed that the increasing hematokrit(HCT)and red blood cell(RBC)count presented severe dehydration;biochemical test results showed that the increasing creatinine and urea nitrogen content indicated abnormal renal function;electrolyte test results showed that hyponatremia,hyperkalemia and hypochloremia were available,indicating Addison's disease;and ACTH stimulation test results indicated adrenal hypofunction.Based on the above results,Addison's disease was confirmed in the infected dog.The dog recovered well through vomit-stopping,correcting hypotension and hypovolemia,adjusting electrolyte balance,correcting hypoglycemia,increasing appetite as well as subcutaneous injection with dexamethasone sodium phosphate or oral administration with ponisone tablets.By the diagnosis of the case,a reference was provided for future diagnosis,analysis and treatment of canine Addison's disease.
关键词
艾迪森病/犬/肾上腺皮质机能减退/诊断/治疗Key words
Addison disease/dog/hypofunction of adrenal cortex/diagnosis/treatment引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
维普
万方数据