Hagman Ragnvi
Department of Clinical Sciences, Swedish University of Agricultural Sciences, PO Box 7054, Uppsala SE-75007, Sweden.
Vet Clin North Am Small Anim Pract. 2018 Jul;48(4):639-661. doi: 10.1016/j.cvsm.2018.03.001.
Pyometra is a common disease in dogs and cats. Hormones and opportunistic bacteria are fundamental in the development, with progesterone playing a key role. The disease should be suspected in intact bitches and queens presenting with illness, and particularly if within 4 months after estrus. Early diagnosis and treatment are vital to increase chances of survival as endotoxemia and sepsis often are induced. Typical clinical signs include vaginal discharge, depression, anorexia, polyuria and polydipsia, fever and gastrointestinal disturbances. Surgical ovariohysterectomy is the safest and most effective treatment. For breeding animals with less severe illness, purely medical treatments alternatives are possible.
子宫蓄脓是犬猫常见疾病。激素和机会致病菌在其发病过程中起重要作用,其中孕酮起关键作用。对于出现疾病症状的未绝育母犬和母猫,尤其是发情后4个月内出现症状的,应怀疑患有该病。由于常引发内毒素血症和败血症,早期诊断和治疗对于提高存活几率至关重要。典型临床症状包括阴道分泌物增多、精神沉郁、厌食、多尿多饮、发热及胃肠功能紊乱。手术切除卵巢子宫是最安全有效的治疗方法。对于病情较轻的种用动物,也可采用单纯药物治疗。