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利用临床和实验室数据鉴别马的腹腔内肿瘤与脓肿:40例病例(1973 - 1988年)

Differentiation between intra-abdominal neoplasms and abscesses in horses, using clinical and laboratory data: 40 cases (1973-1988).

作者信息

Zicker S C, Wilson W D, Medearis I

机构信息

Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, Davis 95616.

出版信息

J Am Vet Med Assoc. 1990 Apr 1;196(7):1130-4.

PMID:2329084
Abstract

The medical records of 25 horses with intra-abdominal neoplasms and 15 horses with intra-abdominal abscesses were reviewed. Common clinical signs of disease observed by owners of horses in both groups included anorexia, weight loss, fever, signs of colic, and depression. Clinical laboratory abnormalities included leukocytosis, hyperfibrinogenemia, hypoalbuminemia, and hypocalcemia. There was considerable overlap of laboratory test results within and between the 2 groups of horses. Peritoneal fluid was classified as an exudate in 12 of 15 horses with intra-abdominal abscesses and in 14 of 25 horses with intra-abdominal neoplasms. Cytologic examination of peritoneal fluid yielded an accurate diagnosis in 11 of 25 horses with neoplasia and in 3 of 15 horses with abscesses. A mean number of 1.45 cytologic analyses/horse was needed to diagnose neoplasms in the 11 horses in which the analysis was successful in definitively diagnosing the condition.

摘要

回顾了25匹患有腹腔肿瘤的马和15匹患有腹腔脓肿的马的病历。两组马的主人观察到的常见疾病临床症状包括厌食、体重减轻、发热、绞痛迹象和抑郁。临床实验室异常包括白细胞增多、高纤维蛋白原血症、低白蛋白血症和低钙血症。两组马内部和之间的实验室检测结果有相当大的重叠。15匹患有腹腔脓肿的马中有12匹以及25匹患有腹腔肿瘤的马中有14匹的腹腔积液被分类为渗出液。对腹腔积液进行细胞学检查,在25匹患有肿瘤的马中有11匹以及15匹患有脓肿的马中有3匹得出了准确诊断。在11匹通过分析成功确诊病情的马中,平均每匹马需要进行1.45次细胞学分析来诊断肿瘤。

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