Preoperative and postoperative hemostatic profiles of dogs undergoing ovariohysterectomy.

The Cornell veterinarian Pub Date : 1992-10-01
D L Millis, J G Hauptman, M Richter
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Abstract

Hemostatic profiles were evaluated in 15 healthy dogs immediately before and 24 hours after celiotomy for routine ovariohysterectomy. Prothrombin time, activated partial thromboplastin time, fibrinogen, fibrin degradation products, antithrombin III activity, platelet count, and hemogram were measured. There were no significant changes in prothrombin time, activated partial thromboplastin time, fibrin degradation products, antithrombin III activity, or platelet count. Fibrinogen concentration was significantly higher following surgery. Postoperative leukocyte differential counts were typical of stress leukograms, and were characterized by leukocytosis, neutrophilia, lymphopenia and eosinopenia. Mild decreases in packed cell volume, red blood cell count and hemoglobin concentration were consistent with minor blood loss during surgery or fluid retention and hemodilution postoperatively. It was concluded that celiotomy and routine ovariohysterectomy in healthy dogs did not alter hemostatic profiles 24 hours after surgery. Abnormal postoperative hemostatic profiles should not be attributed to surgery alone; other causes of abnormal hemostatic profiles should be investigated.

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犬行卵巢子宫切除术的术前和术后止血情况。
对15只健康犬进行常规卵巢子宫切除术前和术后24小时的止血情况进行了评估。测定凝血酶原时间、活化的部分凝血活酶时间、纤维蛋白原、纤维蛋白降解产物、抗凝血酶III活性、血小板计数和血象。凝血酶原时间、活化的部分凝血活酶时间、纤维蛋白降解产物、抗凝血酶III活性或血小板计数没有显著变化。术后纤维蛋白原浓度明显增高。术后白细胞差异计数为典型的应激性白细胞图,表现为白细胞增多、嗜中性粒细胞增多、淋巴细胞减少和嗜酸性粒细胞减少。堆积细胞体积、红细胞计数和血红蛋白浓度的轻度减少与手术中少量失血或术后液体潴留和血液稀释一致。由此得出结论,健康犬的剖宫产和常规卵巢子宫切除术在术后24小时内不会改变止血情况。术后止血异常不应仅仅归因于手术;应调查其他导致止血异常的原因。
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