犬胰腺炎临床特征调查与治疗  

Clinical characteristics investigation and the treatment of canine pancreatitis

作　　者：杨守深[1,2] 林爱华 唐润彬 杨松 陈薇瑾 蔡绍莉 毛婷 郭艺萍 田思群 林炜明 YANG Shoushen;LIN Aihua;TANG Runbin;YANG Song;CHEN Weijin;CAI Shaoli;MAO Ting;GUO Yiping;TIAN Siqun;LIN Weiming(College of Life Science,Longyan University,Longyan 364012,China;Fujian Provincial Key Laboratory-for the Prevention and Control of Animal Infectious Diseases and Biotechnology,Longyan 364012,China)

机构地区：[1]龙岩学院生命科学学院,福建龙岩364012 [2]福建省家畜疫病防治与生物技术重点实验室,福建龙岩364012

出　　处：《黑龙江畜牧兽医》2021年第2期87-91,97,共6页Heilongjiang Animal Science And veterinary Medicine

基　　金：中央引导地方科技发展专项(2018L3011);福建省自然科学基金项目(2018J01459);龙岩市奇迈科技创新基金项目(2017QM0203)。

摘　　要：为了了解福州某宠物医院2017年7月份—2018年4月份期间收治的11例犬胰腺炎病例的发病特点、诊断和治疗方法,笔者对收集的临床资料进行整理,对病例的基本信息进行归纳,同时对11例病例的临床症状、血常规指标、血液生化指标、血气、影像学检查结果进行分析,比较不同用药方案治疗效果。结果表明:患犬胰腺炎主要临床症状为食欲不振、呕吐、腹痛、腹泻、精神沉郁等。2岁以下的犬占27.3%(3/11),2~6岁的犬占27.3%(3/11),7~14岁的犬占45.5%(5/11)。幼年、中年和老年犬均可发病。63.6%的病例白细胞数和中性粒细胞数增多,81.8%的病例碱性磷酸酶活性升高,72.7%的病例尿素氮含量增加,42.9%~57.1%的病例出现低钠、低钙以及低氯血症,部分病例还表现出代谢性酸中毒,腹部密度增加,腹部内组织器官的辨别度降低。通过犬胰腺炎(cPL)测试板,结合临床症状和实验室检查结果可确诊该病。在治疗上,以乌司他丁和奥美拉唑联合用药,配合肠外营养补充,维持机体水盐平衡,一般可取得良好的治疗效果,比单独用乌司他丁治疗效果好。In order to understand the characteristic,diagnosis and treatment of 11 cases of canine pancreatitis collected from a pet hospital in Fuzhou during July 2017 to April 2018,the collected clinical data were sorted out in this experiment,and the basic information of the cases was summarized.The clinical symptoms,blood routine indexes,blood biochemical indexes,blood gas indexes,and imaging examination results of 11 cases were analyzed.The treatment effects of different medication regimens were compared.The results showed that the main clinical symptoms of canine pancreatitis were anorexia,vomite,abdominal pain,diarrhea,depression and so on.Dogs under 2 years old accounted for 27.3%(3/11),2-6 years old for 27.3%(3/11),and 7-14 years old for 45.5%(5/11).Young,middle-aged and elderly dogs can be affected.The number of white blood cells and neutrophils increased in 63.6%of cases,alkaline phosphatase increased in 81.8%of cases,urea nitrogen increased in 72.7%of cases,and low sodium,low calcium,and low chlorine occurred in 42.9%to 57.1%of cases.Some cases also showed metabolic acidosis,increased abdominal density,and decreased discrimination of tissues and organs in the abdomen.The disease can be diagnosed by the test plate of canine pancreatitis(cPL),clinical symptoms and laboratory examination.In treatment,the combination of ulinastatin and omeprazole,together with parenteral nutrition supplementation and maintaining the body’s water-salt balance,generally can achieve good therapeutic effect,which is better than ulinastatin alone.

关 键 词：胰腺炎 犬特异性胰脂肪酶 乌司他丁 奥曲肽 临床特征 治疗原则 

分 类 号：S854[农业科学—临床兽医学] S856[农业科学—兽医学]