Bernard W, Reef V B, Clark E S, Vaala W, Ehnen S J
Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Kennett Square 19348.
J Am Vet Med Assoc. 1990 Feb 1;196(3):468-71.
Records of 6 horses with pericarditis were reviewed. Septic pericarditis was suspected in all horses, based on historic and clinical findings. In horses 1, 2, and 4, cytologic examination of the pericardial effusion revealed acute inflammation with severe neutrophil degeneration. In horses 3 and 5, cytologic examination of pericardial fluid revealed subacute inflammation with degenerated neutrophils, and in horse 6, chronic active inflammation, with well preserved neutrophils. In horses 1 and 3, bacteria were identified on cytologic examination of pericardial fluid. Results of microbiologic cultures of pericardial fluid were positive in horse 3. All horses were treated with broad-spectrum antibiotics. An indwelling pericardial catheter was used to lavage and directly administer antibiotics into the pericardial sac. Horses 1, 4, 5, and 6 survived, horse 2 died of unrelated causes, and horse 3 was euthanatized at the owner's request. Surviving horses returned to athletic performance.
回顾了6匹患有心包炎的马的记录。根据病史和临床检查结果，所有马匹均怀疑患有化脓性心包炎。在马1、马2和马4中，心包积液的细胞学检查显示为急性炎症，伴有严重的中性粒细胞变性。在马3和马5中，心包液的细胞学检查显示为亚急性炎症，伴有变性的中性粒细胞，而在马6中，为慢性活动性炎症，中性粒细胞保存良好。在马1和马3中，心包液的细胞学检查发现了细菌。马3心包液的微生物培养结果呈阳性。所有马匹均接受了广谱抗生素治疗。使用留置心包导管进行灌洗，并将抗生素直接注入心包腔。马1、马4、马5和马6存活下来，马2死于无关原因，马3根据主人的要求实施了安乐死。存活下来的马匹恢复了运动能力。
