George Jeanne W, Hird David W, George Lisle W
Department of Pathology, Microbiology and Immunology, School of Veterinary Medicine, University of California, Davis, CA 95616, USA.
J Am Vet Med Assoc. 2007 Jan 1;230(1):101-6. doi: 10.2460/javma.230.1.101.
To characterize serum biochemical abnormalities in goats with uroliths.
Retrospective case-control series.
107 male goats with uroliths and 94 male goats with various nonrenal diseases (controls).
For male goats, results of serum biochemical analyses collected from 1992 through 2003 were retrieved from computerized records, as were signalment, clinical diagnoses, and discharge status. Results of analyses for BUN, creatinine, phosphorus, calcium, Na, K, Cl, total CO2, anion gap, and glucose were compared between goats with uroliths and control goats.
Goats with uroliths had higher mean BUN, creatinine, total CO2, K, and glucose concentrations and lower mean phosphorus, Na, and Cl concentrations than control goats, with no difference in mean calcium concentration and anion gap. Goats with uroliths had higher frequency of azotemia, hypophosphatemia, hypochloridemia, and increased total CO2 and lower frequency of decreased total CO2 than control goats. Urolithiasis occurred more frequently in castrated males than in sexually intact males and in dwarf African breeds than in other breeds.
Goats with uroliths often had hypophosphatemia at admission. Hypochloridemic metabolic alkalosis was the most common acid-base disorder. Rupture in the urinary tract system was associated with increased prevalence of hyponatremia and hyperkalemia. Clinicians should be aware of these abnormalities when determining fluid therapy.
描述患尿石症山羊的血清生化异常情况。
回顾性病例对照系列研究。
107只患尿石症的雄性山羊和94只患有各种非肾脏疾病的雄性山羊(对照组)。
对于雄性山羊,从1992年至2003年收集的血清生化分析结果、畜主信息、临床诊断及出院状态均从计算机记录中获取。比较患尿石症山羊和对照山羊的血尿素氮、肌酐、磷、钙、钠、钾、氯、总二氧化碳、阴离子间隙和葡萄糖的分析结果。
与对照山羊相比,患尿石症的山羊血尿素氮、肌酐、总二氧化碳、钾和葡萄糖的平均浓度更高,而磷、钠和氯的平均浓度更低,钙的平均浓度和阴离子间隙无差异。与对照山羊相比,患尿石症的山羊氮血症、低磷血症、低氯血症及总二氧化碳升高的发生率更高,而总二氧化碳降低的发生率更低。去势雄性山羊比未去势雄性山羊更易患尿石症,非洲矮种山羊比其他品种山羊更易患尿石症。
患尿石症的山羊入院时常伴有低磷血症。低氯性代谢性碱中毒是最常见的酸碱紊乱。泌尿系统破裂与低钠血症和高钾血症的患病率增加有关。临床医生在确定液体疗法时应注意这些异常情况。