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实验性诱导肝脓肿牛的肝脏超声检查及血液变化

Hepatic ultrasonography and blood changes in cattle with experimentally induced hepatic abscesses.

作者信息

Lechtenberg K F, Nagaraja T G

机构信息

Department of Animal Sciences and Industry, Kansas State University, Manhattan 66506.

出版信息

Am J Vet Res. 1991 Jun;52(6):803-9.

PMID:1679304
Abstract

Hepatic abscesses were induced experimentally in 5 steers by inoculating Fusobacterium necrophorum via ultrasonography-guided, percutaneous catheterization of the portal vein. Hepatic ultrasonography was performed to determine the onset and progression of abscessation. Blood samples were collected before and after inoculation for performing leukocyte counts and hepatic function tests. Ultrasonographic evidence of liver abscesses was observed as early as 3 days after inoculation. Abscesses appeared as hyperechoic centers (cellular debris and pus) surrounded by hypoechoic or anechoic areas (fluid). Increases in rectal temperature, leukocyte counts, fibrinogen, globulin, bilirubin, gamma-glutamyltransferase, and sorbitol dehydrogenase concentrations were detected. Hepatic dysfunction was evidenced by decrease in serum albumin concentration and low sulfobromophthalein clearance. The ultrasonographic diagnosis of abscesses correlated well with necropsy findings.

摘要

通过超声引导经皮门静脉置管接种坏死梭杆菌,在5头公牛身上实验性诱导肝脓肿。进行肝脏超声检查以确定脓肿形成的起始和进展情况。在接种前后采集血样以进行白细胞计数和肝功能测试。接种后3天就观察到了肝脏脓肿的超声证据。脓肿表现为高回声中心(细胞碎片和脓液),周围是低回声或无回声区域(液体)。检测到直肠温度、白细胞计数、纤维蛋白原、球蛋白、胆红素、γ-谷氨酰转移酶和山梨醇脱氢酶浓度升高。血清白蛋白浓度降低和磺溴酞钠清除率低证明存在肝功能障碍。脓肿的超声诊断与尸检结果相关性良好。

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