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[马流产的原因——文献综述与自身评估]

[Causes of abortion in horses - overview of the literature and own evaluations].

作者信息

Weber Ramona, Hospes Rainer, Wehrend Axel

出版信息

Tierarztl Prax Ausg G Grosstiere Nutztiere. 2018 Feb;46(1):35-42. doi: 10.15653/TPG-170517. Epub 2018 Feb 21.

Abstract

The aim of this study was to summarize the current status of the possible causes, clinical symptoms and pathogenesis of abortion in the mare and to evaluate the frequency of varying causes of abortion in German thoroughbred breeding. An analysis of the literature using electronic libraries, journals and textbooks was performed. In addition, the results of examinations of 123 abortions of thoroughbred breeding in central Germany were evaluated. In the literature, bacterial infections are the most frequently described cause of abortion. Other important causes are infections with equine herpesvirus (EHV)-1 or -4, twin pregnancy and umbilical cord anomalies. Examples of rare causes of abortion are equine viral arteritis (EVA), equine infectious anemia, fungal or parasitic infections, fetal malformations and diseases of the mare. In our study of 123 abortions, no cause was found in 47.2 % of the analyzed abortions. Infections were responsible for 26.8 % of the abortions. The main pathogens were bacteria in 17.1 % of the cases followed by viruses (EHV-1/4) in 8.9 % of the cases. Fungal infection was diagnosed in 0.8 % of the cases. The most common cause of a non-infectious abortion was twin pregnancy (21.1%). Other causes of non-infectious abortion were fetal malformations (3.3 %), umbilical cord strangulations (0.8 %) and uterine torsion (0.8 %). The results of our own study suggest that in the future greater attention should be paid to ultrasonographic examinations in the early pregnancy to reduce the rate of abortions because of a twin pregnancy. To increase the detection rate of unknown causes of abortion, rarer causes of abortion should be investigated, including for EVA and chlamydia, as a matter of routine.

摘要

本研究的目的是总结母马流产可能的病因、临床症状及发病机制的现状,并评估德国纯种马繁育中不同流产原因的发生频率。利用电子图书馆、期刊和教科书对文献进行了分析。此外,还对德国中部123例纯种马繁育流产病例的检查结果进行了评估。文献中,细菌感染是最常描述的流产原因。其他重要原因包括感染马疱疹病毒(EHV)-1或-4、双胎妊娠和脐带异常。流产的罕见原因包括马病毒性动脉炎(EVA)、马传染性贫血、真菌或寄生虫感染、胎儿畸形和母马疾病。在我们对123例流产病例的研究中,47.2%的分析流产病例未发现病因。感染导致26.8%的流产。主要病原体为细菌,占病例的17.1%,其次是病毒(EHV-1/4),占病例的8.9%。真菌感染在0.8%的病例中被诊断出。非感染性流产最常见的原因是双胎妊娠(21.1%)。非感染性流产的其他原因包括胎儿畸形(3.3%)、脐带绞窄(0.8%)和子宫扭转(0.8%)。我们自己的研究结果表明,未来应更加重视妊娠早期的超声检查,以降低双胎妊娠导致的流产率。为了提高不明原因流产的检出率,应将包括EVA和衣原体在内的罕见流产原因作为常规进行调查。

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