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马背部问题研讨会。(2)马背部疾病的诊断

Symposium on back problems in the horse. (2) The diagnosis of diseases of the horse's back.

作者信息

Jeffcott L B

出版信息

Equine Vet J. 1975 Apr;7(2):69-78. doi: 10.1111/j.2042-3306.1975.tb03234.x.

DOI:10.1111/j.2042-3306.1975.tb03234.x
PMID:124654
Abstract

A description of some of the clinical features of low back pain in the horse has been given and a number of methods for assisting diagnosis considered. As well as a complete clinical examination both at rest and during exercise, a useful diagnostic aid in some chronic cases was the injection of local anaesthetic into the interspinous spaces. A laboratory examination, including haematological and biochemical profiles, was undertaken in all cases. The serum enzymes GOT and CPK were particularly valuable as an aid to diagnosis in atypical tying-up. A technique for radiography of the vertebral column of the mid back in the standing position and of the pelvic and sacroiliac regions of the anaesthetised horse was described using a Siemens Triplex Optimatic 1023 machine. Some of the radiological features of the vertebral column were considered and a breakdown of the diagnosis of 110 referred back cases. The most important conditions included muscle strain, crowding and overriding of the dorsal spinous processes in the mid back, spondylosis, undue curvature of the spine and vertebral fractures.

摘要

本文描述了马腰椎疼痛的一些临床特征,并探讨了多种辅助诊断方法。除了在休息和运动时进行全面的临床检查外,在一些慢性病例中,向棘突间隙注射局部麻醉剂是一种有用的诊断辅助手段。所有病例均进行了实验室检查,包括血液学和生化指标检测。血清酶谷草转氨酶(GOT)和肌酸磷酸激酶(CPK)在非典型肌病的诊断中特别有价值。文中介绍了一种使用西门子Triplex Optimatic 1023机器对站立位马的中背部脊柱以及麻醉马的骨盆和骶髂区域进行放射摄影的技术。文中还讨论了脊柱的一些放射学特征,并对110例转诊病例的诊断进行了分类。其中最重要的病症包括肌肉拉伤、中背部棘突拥挤和重叠、脊椎关节强硬、脊柱过度弯曲以及椎骨骨折。

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