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患有各种疾病的犬类红细胞分布宽度的评估。

Evaluation of red blood cell distribution width in dogs with various illnesses.

作者信息

Martinez Carlos, Mooney Carmel T, Shiel Robert E, Tang Pak Kan, Mooney Louise, O'Neill Emma J

机构信息

School of Veterinary Medicine, University College Dublin Veterinary Hospital, Belfield, Co. Dublin, Ireland.

出版信息

Can Vet J. 2019 Sep;60(9):964-971.

Abstract

In humans, increased red blood cell distribution width (RDW) values are associated with higher morbidity and mortality in a variety of pathological processes. The main objective of this study was to evaluate RDW in dogs with a diverse range of pathologies. Clinical data from 276 dogs were retrospectively evaluated. Significantly higher RDW values were found in dogs with primary immune-mediated hemolytic anemia ( < 0.0001), immune-mediated thrombocytopenia ( < 0.0004), hyperadrenocorticism ( < 0.0001), hypothyroidism ( = 0.0220), hepatic vascular anomaly ( < 0.0001), pneumonia ( < 0.0001), chronic kidney disease ( = 0.0005), multi-centric lymphoma ( = 0.0002), and myxomatous mitral valve degeneration ( = 0.0032). However, there was extensive overlap with the values from healthy dogs, limiting the diagnostic value of RDW in this setting. Although RDW may have a role as a potential prognostic indicator, further studies would be necessary to address this.

摘要

在人类中,红细胞分布宽度(RDW)值升高与多种病理过程中较高的发病率和死亡率相关。本研究的主要目的是评估患有多种病理疾病的犬的RDW。对276只犬的临床数据进行了回顾性评估。发现原发性免疫介导性溶血性贫血(<0.0001)、免疫介导性血小板减少症(<0.0004)、肾上腺皮质功能亢进(<0.0001)、甲状腺功能减退(=0.0220)、肝血管异常(<0.0001)、肺炎(<0.0001)、慢性肾病(=0.0005)、多中心淋巴瘤(=0.0002)和黏液瘤性二尖瓣退变(=0.0032)的犬的RDW值显著更高。然而,这些值与健康犬的值有广泛重叠,限制了RDW在此情况下的诊断价值。虽然RDW可能作为一种潜在的预后指标发挥作用,但需要进一步研究来解决这一问题。

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