一例猫原发性慢性肾上腺皮质机能减退 的诊断与治疗  

Diagnosis and Treatment of Primary Chronic Adrenal Cortical Insufficiency in a Cat

作　　者：王均均 樊伟 盛光玉 贺建忠[1] WANG Junjun;FAN Wei;SHENG Guangyu;HE Jianzhong(College of Animal Science and Technology,Tarim University,Alar Xinjiang 843300,China;Weite(Shenzhen)Animal Hospital)

机构地区：[1]塔里木大学动物科学与技术学院,新疆阿拉尔843300 [2]维特(深圳)动物医院

出　　处：《畜牧兽医杂志》2023年第6期133-136,138,共5页Journal of Animal Science and Veterinary Medicine

摘　　要：一只3岁的雄性去势橘猫用促肾上腺皮质素(ACTH)试验诊断为原发性慢性肾上腺皮质机能减退(HAC),该猫前期使用泼尼松龙和醋酸氟氢可的松联合用药一段时间后治疗效果不佳,后来使用泼尼松龙和盐皮质质激素(DOCP)联合治疗,效果较好,现经过两年半的持续治疗仍然健在,且生活质量良好。该病例表明,当醋酸氟氢可的松作为盐皮质激素治疗猫HAC效果不佳时,DOCP可以成功地作为盐皮质激素补充剂用于猫的肾上腺皮质机能减退。A 3-year-old male castrated orange cat with primary chronic hypoadrenal insufficiency(HAC)was diagnosed with the corticotropin(ACTH)test.The cat was treated with a combination of prednisolone and fludrocortisone acetate for a period of time,and the treatment effect was not good.Later we used prednisolone and mineralocorticoid corticosteroids(DOCP)combination therapy,the effect is better.After two and a half years of continuous treatment,the cat is still alive and has a good quality of life.This case demonstrates that DOCP can be successfully used as a mineralocorticoid supplement in cats with hypoadrenal insufficiency when fludrocortisone acetate was not effective as a mineralocorticoid for HAC in cats.

关 键 词：肾上腺皮质机能减退 糖皮质激素 盐皮质激素 血清电解质 

分 类 号：S856.5[农业科学—临床兽医学]