犬肝内门体分流病例的诊治与跟踪分析  

Diagnosis,Treatment and Follow-up Analysis of Canine Intrahepatic Portosystemic Shunt

作　　者：邝怡 刘冉 董悦农[1] 夏兆飞[2] KUANG Yi;LIU Ran;DONG Yue-nong;XIA Zhao-fei(China Agricultural University Veterinary Teaching Hospital,Beijing 100193,China;College of Veterinary Medicine,China Agricultural University,Beijing 100193,China)

机构地区：[1]中国农业大学动物医院,北京海淀100193 [2]中国农业大学动物医学院,北京海淀100193

出　　处：《中国兽医杂志》2022年第12期36-39,共4页Chinese Journal of Veterinary Medicine

摘　　要：犬肝内门体分流(IHPSS)作为一种血管发育异常的疾病,具有诊断困难、手术治疗难度大和术后死亡率高等难点。本文旨在探讨精确诊断犬IHPSS的方法和评估非手术手段治疗犬IHPSS的疗效。通过跟踪1例IHPSS患犬,并分析其药物配合营养管理治疗5年间的体况、生活质量和相关实验室指标变化。结果显示,CT血管造影可确定IHPSS具体类型,并且5年间通过药物配合犬肝脏处方粮治疗管理,患犬体况恢复正常,生活质量良好,相关实验室指标保持稳定。结果表明,对于诊治IHPSS,相比于超声诊断和手术治疗,CT血管造影具有更好的准确性,药物配合营养管理具有更好的疗效和更高的安全性。Canine intrahepatic portosystemic shunt(IHPSS),a disease with abnormal vascular development,often poses challenges in diagnosis and surgical treatment and causes high postoperative mortality.This study aimed to identify appropriate techniques for diagnosis and to evaluate optimal non-surgical means for treatment of canine IHPSS.Through following a dog diagnosed of IHPSS and analyzing the changes in body condition,quality of life and related laboratory parameters during 5 years drug treatment and nutritional management,it was found that the dog's IHPSS type was confirmed by CT angiography and the dog's body condition returned to normal with good quality of life and stable laboratory indicators in the 5 years period.Thus,for the diagnosis and treatment of IHPSS,CT angiography shows better accuracy than ultrasound,and drug treatment and nutritional management offer better efficacy and higher safety than surgical treatment.

关 键 词：肝内门体分流 肝性脑病 饮食管理 跟踪分析 

分 类 号：S858.292[农业科学—临床兽医学]