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基于超声检查结果的英国成年绵羊慢性肺部疾病的抗生素治疗反应

Antibiotic Treatment Response of Chronic Lung Diseases of Adult Sheep in the United Kingdom Based upon Ultrasonographic Findings.

作者信息

Scott Phil

机构信息

Division of Veterinary Clinical Sciences, R(D)SVS, University of Edinburgh, Easter Bush, Roslin, Midlothian EH25 9RG, UK.

出版信息

Vet Med Int. 2014;2014:537501. doi: 10.1155/2014/537501. Epub 2014 May 27.

Abstract

Examination of the lungs of adult sheep with chronic respiratory diseases was readily achieved using both 5 MHz linear and sector scanners. Superficial lung abscesses in eight sheep appeared as anechoic areas containing multiple hyperechoic dots bordered distally by a broad hyperechoic capsule. Unilateral fibrinous pleurisy (2 sheep) appeared as an anechoic area containing a hyperechoic latticework. Ovine pulmonary adenocarcinoma (OPA) lesions appeared as sharply demarcated hypoechoic areas in the lung parenchyma initially in the cranioventral lung lobes (21 sheep) with lesions also present in the caudodorsal diaphragmatic lobe (11 sheep); abscesses and areas of calcification within the OPA tumour mass were also identified. Daily treatment with procaine penicillin for 30 consecutive days was successful in both sheep with unilateral fibrinous pleurisy and six sheep identified with superficial lung abscesses measuring 2-8 cm in diameter; only one of two sheep with more extensive lesions recovered. Auscultation of the chest failed to detect adventitious sounds in any of the ten sheep with lung abscesses; normal breath sounds were reduced over the area of fibrinous pleurisy; no pleuritic rubs were heard. Wheezes and crackles auscultated in some OPA cases and did not correlate well with lesions detected ultrasonographically.

摘要

使用5兆赫线性和扇形扫描仪,很容易对患有慢性呼吸道疾病的成年绵羊的肺部进行检查。8只绵羊的浅表肺脓肿表现为无回声区,其中含有多个高回声点,远端由一个宽的高回声包膜界定。单侧纤维素性胸膜炎(2只绵羊)表现为一个含有高回声网格的无回声区。绵羊肺腺癌(OPA)病变最初在颅腹侧肺叶(21只绵羊)的肺实质中表现为边界清晰的低回声区,尾背侧膈叶也有病变(11只绵羊);还发现了OPA肿瘤块内的脓肿和钙化区域。连续30天每天用普鲁卡因青霉素治疗,对患有单侧纤维素性胸膜炎的2只绵羊和6只被确定患有直径为2 - 8厘米的浅表肺脓肿绵羊均取得成功;两只病变更广泛的绵羊中只有一只康复。对10只患有肺脓肿的绵羊进行胸部听诊,均未检测到附加音;纤维素性胸膜炎区域的正常呼吸音减弱;未听到胸膜摩擦音。在一些OPA病例中听诊到哮鸣音和湿啰音,但与超声检查发现的病变相关性不佳。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d8f7/4058280/cb494e0ceb4b/VMI2014-537501.001.jpg

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