Tee S Y, Dart A J, MacDonald M H, Perkins N R, Horadagoda N, Jeffcott L B
University Veterinary Teaching Hospital Camden, Camden, New South Wales, Australia.
Aust Vet J. 2012 Jul;90(7):247-51. doi: 10.1111/j.1751-0813.2012.00950.x. Epub 2012 Jun 5.
To evaluate the effect of collecting serial tracheal aspirate (TA) and bronchoalveolar lavage (BAL) samples on the cytological findings of subsequent fluid samples obtained from horses without clinical signs of respiratory disease.
Experimental.
Six healthy Standardbred horses.
Endoscopically-guided TA samples, and BAL samples collected using the blind field technique were obtained from the six horses on days 1, 2, 3, 4, 5, 12, and 17. On day 17, horses were sampled three times: at baseline and at 2.5 h and 4 h apart. The differential cytology of the fluid samples collected at each time point was expressed as percentages and compared statistically.
There was a significant increase in neutrophil percentage in the TA samples taken at day 17 (at 2.5 h but not at 4 h apart). There was no significant change in the neutrophil percentages in the TA samples when repeated samples were taken ≥ 24 h apart. There was no significant change in the neutrophil percentages in the BAL fluid at any collection point. There were inconsistent changes in the percentages of lymphocytes and macrophages in the BAL fluid over time, but these remained within normal reference ranges and were considered clinically insignificant.
Serial TA and BAL samples can be taken at 24 h intervals without affecting the cytological findings of subsequent fluid samples collected using the techniques described.
评估采集系列气管吸出物(TA)和支气管肺泡灌洗(BAL)样本对从无呼吸道疾病临床症状的马匹获取的后续液体样本细胞学检查结果的影响。
实验性研究。
6匹健康的标准赛马。
在第1、2、3、4、5、12和17天,通过内镜引导从6匹马获取TA样本,并使用盲视技术采集BAL样本。在第17天,对马匹进行3次采样:基线时以及间隔2.5小时和4小时时。将每个时间点采集的液体样本的鉴别细胞学结果以百分比表示,并进行统计学比较。
在第17天采集的TA样本中(间隔2.5小时采集的样本,而非间隔4小时采集的样本),中性粒细胞百分比显著增加。当间隔≥24小时重复采集TA样本时,中性粒细胞百分比无显著变化。在任何采集点,BAL液中的中性粒细胞百分比均无显著变化。随着时间推移,BAL液中淋巴细胞和巨噬细胞百分比变化不一致,但这些变化仍在正常参考范围内,被认为临床意义不大。
可以每隔24小时采集系列TA和BAL样本,而不会影响使用所述技术采集的后续液体样本的细胞学检查结果。