Lake-Bakaar Geri A, Johnson Eric G, Griffiths Leigh G
Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California-Davis, 95616, USA.
J Am Vet Med Assoc. 2012 Oct 1;241(7):910-5. doi: 10.2460/javma.241.7.910.
To describe clinical signs, treatment, and outcome of aortic thrombosis in dogs.
Retrospective case series.
31 dogs with aortic thrombosis.
Records were retrospectively reviewed and data collected regarding signalment, historical signs, physical examination findings, laboratory testing, definitive diagnosis, and presence of concurrent disease.
The records of 31 dogs with clinical or postmortem diagnosis of aortic thrombosis were reviewed. Onset of clinical signs was acute in 14 (45%) dogs, chronic in 15 (48%), and not documented in 2 (6%). Femoral pulses were subjectively weak in 6 (19%) dogs and absent in 17 (55%). Frequent laboratory abnormalities included high BUN concentration (n = 13), creatinine concentration (6), creatine kinase activity (10), and D-dimer concentration (10) and proteinuria with a urine protein-to-creatinine concentration ratio > 0.5 (12). Concurrent conditions included neoplasia (n = 6), recent administration of corticosteroids (6), and renal (8) or cardiac (6) disease. Median survival time was significantly longer for dogs with chronic onset of disease (30 days; range, 0 to 959 days) than for those with acute onset of clinical signs (1.5 days; range, 0 to 120 days).
Results suggested that aortic thrombosis is a rare condition in dogs and accounted for only 0.0005% of hospital admissions during the study period. The clinical signs for dogs with aortic thrombosis differed from those seen in feline patients with aortic thromboembolism. Median survival time was significantly longer for dogs with chronic disease than for dogs with acute disease. Despite treatment, outcomes were typically poor, although protracted periods of survival were achieved in some dogs.
描述犬主动脉血栓形成的临床症状、治疗及预后。
回顾性病例系列研究。
31只患有主动脉血栓形成的犬。
回顾性查阅病历,并收集有关动物特征、既往症状、体格检查结果、实验室检查、确诊诊断及并发疾病情况的数据。
对31只经临床或尸检诊断为主动脉血栓形成的犬的病历进行了回顾。14只(45%)犬临床症状急性发作,15只(48%)慢性发作,2只(6%)未记录发作情况。6只(19%)犬股动脉搏动主观减弱,17只(55%)未触及。常见的实验室异常包括高血尿素氮浓度(n = 13)、肌酐浓度(6)、肌酸激酶活性(10)、D - 二聚体浓度(10)以及尿蛋白与肌酐浓度比值>0.5的蛋白尿(12)。并发疾病包括肿瘤(n = 6)、近期使用皮质类固醇(6)以及肾脏疾病(8)或心脏疾病(6)。疾病慢性发作的犬中位生存时间(30天;范围,0至959天)显著长于临床症状急性发作的犬(1.5天;范围,0至120天)。
结果表明,主动脉血栓形成在犬中是一种罕见疾病,在研究期间仅占住院病例的0.0005%。犬主动脉血栓形成的临床症状与猫主动脉血栓栓塞患者所见不同。慢性疾病犬的中位生存时间显著长于急性疾病犬。尽管进行了治疗,但预后通常较差,不过部分犬实现了较长时间的存活。