猫传染性腹膜炎的诊断与治疗研究进展  

Diagnosis and treatment of feline infectious peritonitis

作　　者：王慧[1,2] 宋健 陈武[1,2,3] WANG Hui;SONG Jian;CHEN Wu(College of Animal Science and Technology,Beijing University of Agriculture,Beijing 102206,China;Beijing Essential Laboratory of Chinese Medicine in Veterinary Medicine,Beijing 102206,China;International Training Abstract and Research Center of Traditional Chinese Veterinary Medicine,Beijing 102206,China)

机构地区：[1]北京农学院动物科学与技术学院,北京102206 [2]兽医学中医药北京市重点实验室,北京102206 [3]中国传统兽医学国际培训研究中心,北京102206

出　　处：《中兽医医药杂志》2023年第6期38-41,共4页Journal of Traditional Chinese Veterinary Medicine

基　　金：国家自然科学基金项目(32072904)。

摘　　要：猫传染性腹膜炎(FIP)是由猫传染性腹膜炎病毒(FIPV)引起的高致死性疾病。目前,FIP确诊依然存在较大困难,西兽医诊断该病需将问诊、临床症状观察、实验室检查等结果进行综合分析,从而尽可能提高患猫生前诊断的准确性。在治疗方面主要采用抗病毒治疗和对症治疗。目前国外临床上抗FIPV的药物主要为蛋白酶抑制剂和核苷类似物两大类,国内尚无合规且有效的治疗药物。根据中兽医理论,依据八纲辨证和脏腑辨证对FIP的病例进行初步分型,可将其分为气虚伤脾、湿热壅盛和肝肾阴亏3种证型。近年来利用中药复方制剂治疗或辅助治疗FIP效果良好,能够弥补西兽医当下诊治该病的不足。总结归纳西兽医和中兽医对FIP的诊断和治疗现状,以期为该病的临床诊疗提供参考。Feline infectious peritonitis(FIP)is a severe and often fatal disease caused by the feline infectious peritonitis virus(FIPV).Despite ongoing research efforts,diagnosing FIP remains a significant challenge in veterinary medicine.Accurate prenatal diagnosis relied on comprehensive evaluation of the animal medical history,clinical symptoms,laboratory test results,etc.Treatment options for FIP were limited,with antiviral therapy and symptomatic treatment being the primary approaches.Currently,anti-FIPV drugs in foreign clinics are mainly protease inhibitors and nucleoside analogs,but their usage is hindered by various factors in domestic clinical practice.According to the theory of traditional Chinese veterinary medicine,based on the eight principle syndrome differentiation and visceral pattern identification,the preliminary classification of FIP can be divided into spleen Qi deficiency pattern,dampness-heat pattern,and liver-kidney Yin deficiency pattern three types.In recent years,the use of traditional Chinese herbal compound formulations for the treatment or adjuvant treatment of FIP had shown good results,which could compensate for the current shortcomings of moeden veterinary medicine in diagnosing and treating this disease.This article provided an overview of current diagnosis and treatment methods in morden and traditional Chinese veterinary medicine,highlighting their respective limitations to contribute valuable insights for improving the clinical management of FIP.

关 键 词：猫传染性腹膜炎 诊断 治疗 气虚伤脾 湿热壅盛 肝肾阴亏 

分 类 号：S853.2[农业科学—临床兽医学]