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犬急性非创伤性血腹症的预后:60例病例(2003 - 2006年)的回顾性分析

Prognosis for acute nontraumatic hemoperitoneum in the dog: a retrospective analysis of 60 cases (2003-2006).

作者信息

Aronsohn Michael G, Dubiel Beata, Roberts Brian, Powers Barbara E

机构信息

Department of Surgery, Veterinary Specialists of South Florida, Cooper City, 33024, USA.

出版信息

J Am Anim Hosp Assoc. 2009 Mar-Apr;45(2):72-7. doi: 10.5326/0450072.

Abstract

The complete medical records of 60 dogs with hemoabdomen were reviewed. All dogs underwent exploratory laparotomy and had a diagnosis established by a veterinary pathologist. Final diagnoses were hemangiosarcoma in 38 (63.3%) dogs, splenic hematoma in 16 (26.6%) dogs, splenic torsion in three (5%) dogs, hepatocellular carcinoma in two (3.3%) dogs, and carcinomatosis in one (1.6%) dog. Twenty-four (63.1%) dogs with hemangiosarcoma, 14 (87.5%) dogs with splenic hematoma, three (100%) dogs with splenic torsion, and two (100%) dogs with hepatocellular carcinoma were discharged from the hospital. Dogs with hemangiosarcoma were given a poor prognosis, while dogs with splenic hematoma, splenic torsion, and hepatocellular carcinoma were given a fair to good prognosis.

摘要

回顾了60只患有腹腔积血犬的完整病历。所有犬均接受了剖腹探查术,并由兽医病理学家做出诊断。最终诊断为:38只(63.3%)犬患有血管肉瘤,16只(26.6%)犬患有脾血肿,3只(5%)犬患有脾扭转,2只(3.3%)犬患有肝细胞癌,1只(1.6%)犬患有癌转移。24只(63.1%)患有血管肉瘤的犬、14只(87.5%)患有脾血肿的犬、3只(100%)患有脾扭转的犬以及2只(100%)患有肝细胞癌的犬出院。患有血管肉瘤的犬预后不良,而患有脾血肿、脾扭转和肝细胞癌的犬预后为中等至良好。

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