猫胆管性肝炎的治疗

A. Rudenko, A. Karamyan, Denis S. Usenko, E. Krotova, R. Rogov, I.E. Prozorovskiy
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引用次数: 0

摘要

猫的急性细菌性胆管肝炎是一种与胆管和肝实质炎症相关的常见疾病,其特点是发展为明显的肝抑郁综合征(低白蛋白血症)、细胞溶解(血清丙氨酸和天冬酰胺转氨酶活性升高)、胆汁淤积(血清胆红素、胆固醇浓度升高、碱性磷酸酶和γ -谷氨酰转肽酶活性升高)、中毒、脱水。间质炎症和疼痛综合征。本研究的目的是研究治疗急性细菌性胆管肝炎在猫平均严重程度的病理过程的有效性。根据纳入和排除标准,该研究纳入了一组患有急性细菌性胆管肝炎的猫(n = 12)。采用临床、血液学、超声、统计学等调查方法。对于中度胆管性肝炎病猫,联合马博沙星、甲硝唑、熊去氧胆酸、氰钴胺、醋酸生育酚、输液治疗也具有良好的治疗效果,临床和实验室表现均有所改善。在胆管肝炎猫的血液中,在强化治疗的背景下,白细胞计数、红细胞沉降率显著降低,血清中白蛋白浓度增加,肌酐、转氨酶活性、碱性磷酸酶、γ -谷氨酰转肽酶、脂肪酶降低。
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Treatment for cholangiohepatitis in cats
Acute bacterial cholangiohepatitis of cats is a common disease associated with the inflammation of bile ducts and liver parenchyma, characterized by development of a pronounced hepatodepressive syndrome (hypoalbuminemia), cytolysis (increase in serum activity of alanine and asparagine transaminase), cholestasis (increase in serum concentration of bilirubin, cholesterol, activity of alkaline phosphatase and gamma-glutamyltranspeptidase), intoxication, dehydration, mesenchymal-inflammatory and pain syndromes. The aim of the research was to study the effectiveness of treatment for acute bacterial cholangiohepatitis in cats with average severity of the pathology course. According to inclusion and exclusion criteria, the study included a cohort of cats (n = 12) with acute bacterial cholangiohepatitis. Clinical, hematological, ultrasonographic, statistical methods of investigation were used in this work. For sick cats with medium severity form of cholangiohepatitis, when administered as a complex therapy the combination of marbofloxacin, metronidazole, ursodeoxycholic acid, cyancobolamine, tocopherol acetate, infusion therapy also had a good therapeutic effect, which was accompanied by improved clinical and laboratory performance. In the blood of cats with cholangiohepatitis, in the background of intensive therapy, there was a significant decrease in white blood cell count, erythrocyte sedimentation rate, and in serum, there was an increase in albumin concentration, reduction of creatinine, aminotransferase activity, alkaline phosphatase, gamma-glutamyltranspeptidase, lipase.
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审稿时长
12 weeks
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