多普勒超声测定慢性肾衰竭犬肾血流量、高血压患病率及酸碱水平

L. Koenhemsi, R. Gönül
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摘要

慢性肾衰竭(CRF)是狗发病和死亡的重要原因。本研究旨在探讨慢性肾衰竭犬的肾多普勒测量、高血压和酸碱水平。26只先前诊断为慢性肾衰竭的狗与20只健康的狗进行了比较。采用肾多普勒超声检测全血细胞、生化、尿液、血气、血压及肾血流变化。CRF组血清尿素氮、肌酐和磷浓度显著高于对照组,堆积细胞体积和尿比重显著低于对照组。血清肌酐水平与肾多普勒指数呈正相关。血液pH值和碳酸氢盐显著降低。CRF犬的间接血压测量值略有升高。肾多普勒测量被认为是诊断狗肾衰的有用工具。鉴别酸中毒和高血压可能有助于开发减缓慢性肾衰竭进展速度的治疗方法。
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Determination of renal blood flow with Doppler ultrasound and the hypertension prevalence and acid-base level in dogs with chronic renal failure
Chronic renal failure  (CRF) is an important cause of morbidity and mortality in dogs. The aim of this study is to investigate the renal Doppler measurements, blood hypertension and acid-base levels in dogs with chronic renal failure. Twenty-six dogs previously diagnosed with chronic renal failure were compared with twenty healthy dogs. A complete blood cell, biochemical profile, urinalysis, blood gasses, blood pressure were analyzed and changes in renal blood flow were measured by renal Doppler ultrasonography. The dogs with CRF had significantly higher serum blood urea nitrogen, creatinine and phosphorus concentration, significantly lower packed cell volume, and urine specific gravity than control dogs. Positive correlation was determined between serum creatinine levels and renal Doppler indices. There were significant decreases in blood pH and bicarbonate. Indirect blood pressure measurements were slightly increased in CRF dogs. Renal Doppler measurement was observed as a helpful tool in diagnosing the CRF in dogs. Identification of acidosis and hypertension may help in developing treatments that slow the rate of progression of chronic renal failure.
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