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胃肠外营养在治疗五匹小马和一头驴高脂血症中的临床应用。

Clinical application of parenteral nutrition in the treatment of five ponies and one donkey with hyperlipaemia.

作者信息

Durham A E

机构信息

Liphook Equine Hospital, Forest Mere, Liphook, Hampshire GU30 7JG.

出版信息

Vet Rec. 2006 Feb 4;158(5):159-64. doi: 10.1136/vr.158.5.159.

Abstract

Five ponies and one donkey with hyperlipaemia that occurred secondarily to a variety of primary clinical conditions were treated with lipid-free partial parenteral nutrition comprising equal volumes of 50 per cent glucose and 15 per cent amino acids. The infusion supplied energy and protein at rates of 2.6 kJ/kg per hour and 34.3 mg/kg per hour, respectively. In all six cases there was a prompt and sustained decrease in serum concentrations of triglyceride. In four of the six cases a good response to treatment of the primary condition was also seen and the subjects were discharged successfully. In the remaining two cases, poor clinical response of the primary condition resulted in euthanasia, although hyperlipaemia was nevertheless resolved. The main complication of parenteral nutrition was hyperglycaemia.

摘要

五匹小马和一头驴因各种原发性临床病症继发高脂血症,接受了无脂部分胃肠外营养治疗,该营养由等量的50%葡萄糖和15%氨基酸组成。输注分别以每小时2.6千焦/千克和每小时34.3毫克/千克的速率提供能量和蛋白质。在所有六例中,血清甘油三酯浓度迅速且持续下降。六例中的四例对原发性病症的治疗也有良好反应,且这些动物成功出院。在其余两例中,原发性病症的临床反应不佳导致实施安乐死,尽管高脂血症已得到解决。胃肠外营养的主要并发症是高血糖症。

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