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[新生驹腹部超声检查技术及正常表现]

[Technique of abdominal ultrasonography in newborn foals and normal findings].

作者信息

Behn C, Bostedt H

机构信息

Klinik für Geburtshilfe, Gynäkologie und Andrologie der Gross- und Kleintiere mit Tierärztlicher Ambulanz, Justus-Liebig-Universität Giessen.

出版信息

Berl Munch Tierarztl Wochenschr. 2000 Sep;113(9):335-43.

Abstract

Under field conditions, the diagnosis of foal's diseases relies almost exclusively on the physical examination. As the signs of illness in the equine neonate are frequently vage and non-localizing, the diagnosis of diseases may be problematic. This often causes misinterpretations and leads to ineffective prophylaxis and treatment. The purpose of this study was to evaluate the usefulness of diagnostic ultrasonography of the foal's abdomen under field conditions to provide an optimized technique and to describe the normal findings. Diagnostic ultrasonography of the abdomen was performed after obtaining clinical history and passing the physical examination of 25 foals without signs of abdominal problems. The foals were scanned in a stable box, being restrained by three persons in semi-lateral recumbency. Usually, sedation was not necessary. The ventral abdominal wall was clipped, a generous amount of ultrasound coupling gel was applied and massaged on the skin surface. The ultrasonographic examination was carried out using a portable sector scanner ("Microimager 2000", Ausonics) with 5.0 and 7.5-MHz transducers or a combined 5.0 and 7.5-MHz transrectal linear-array scanner ("450 Enhanced", Pie Medical). Employing the 5.0-MHz sector scanner first, the abdomen was explored from caudal to cranial in left and right semi-lateral recumbency. The 7.5-MHz scanner was used to attain higher resolution of certain structures. The sector scanner turned out to be suitable under field conditions and adequate to examine the abdominal organs. The transrectal linear-array scanner also provided the most important informations, although it was difficult to maintain a good contact area of the scan head. By ultrasonography it was possible to identify the urinary bladder, kidneys, spleen, liver and part of the gastrointestinal tract. Thus, application of ultrasound could successfully be performed on newborn foals under field conditions.

摘要

在野外条件下,幼驹疾病的诊断几乎完全依赖于体格检查。由于马驹新生儿的疾病体征往往模糊且不具有定位性,疾病的诊断可能存在问题。这常常导致误解,并导致预防和治疗无效。本研究的目的是评估野外条件下幼驹腹部诊断性超声检查的实用性,以提供优化技术并描述正常检查结果。在获取25匹无腹部问题体征的幼驹的临床病史并进行体格检查后,对其腹部进行诊断性超声检查。幼驹在稳定的畜栏中进行扫描,由三人将其约束为半侧卧位。通常,无需镇静。剪掉腹侧腹壁的毛发,涂抹大量超声耦合剂并在皮肤表面按摩。使用便携式扇形扫描仪(“Microimager 2000”,奥索尼克斯)配备5.0和7.5MHz换能器或组合式5.0和7.5MHz经直肠线性阵列扫描仪(“450 Enhanced”,派伊医疗)进行超声检查。首先使用5.0MHz扇形扫描仪,在幼驹半侧卧位时从尾侧向头侧对腹部进行探查。使用7.5MHz扫描仪以获得某些结构的更高分辨率。结果表明,扇形扫描仪在野外条件下适用,足以检查腹部器官。尽管难以保持扫描头的良好接触面积,但经直肠线性阵列扫描仪也提供了最重要的信息。通过超声检查可以识别膀胱、肾脏、脾脏、肝脏和部分胃肠道。因此,在野外条件下对新生幼驹成功进行了超声检查。

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