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锌中毒——2只犬伴发的溶血性贫血和胰腺疾病

Zinc toxicosis - Associated hemolytic anemia and pancreatic disease in 2 dogs.

作者信息

Foote Kimberley, Gilroy Cornelia, Burton Shelley, Horney Barbara, Lopez Alfonso, Savidge Christine, Goff Tamara

机构信息

Pathology and Microbiology (Foote, Gilroy, Burton, Horney, Lopez) and Companion Animal Departments (Savidge), Atlantic Veterinary College, University of Prince Edward Island, 550 University Avenue, Charlottetown, Prince Edward Island C1A 4P3; Cornwall Veterinary Clinic, 375 Trans-Canada Highway, Cornwall, Prince Edward Island C0A 1H0 (Goff ).

出版信息

Can Vet J. 2020 Feb;61(2):147-152.

PMID:32020932
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6973218/
Abstract

Two cases of canine zinc toxicosis with pancreatic disease are reported. Both dogs had pigmenturia, pallor, regenerative anemia, an inflammatory leukogram, hyperbilirubinemia, hyperamylasemia, and hyperlipasemia. Zinc toxicosis was diagnosed post-mortem in patient 1 based on the discovery of a metallic gastric foreign object, pancreatic necrosis, nephrosis, and high tissue zinc concentrations. Survey radiographs of patient 2 allowed identification and prompt removal of coins from the stomach with resolution of anemia, hyperamylasemia, and hyperlipasemia 3 days post-gastroscopy. Plasma zinc concentration was markedly elevated in patient 2. Zinc toxicosis should be considered in dogs with concurrent hemolytic anemia and pancreatic disease.

摘要

报告了两例伴有胰腺疾病的犬锌中毒病例。两只犬均有色素尿、苍白、再生性贫血、炎症性白细胞计数、高胆红素血症、高淀粉酶血症和高脂肪酶血症。病例1在死后诊断为锌中毒,依据是发现金属性胃内异物、胰腺坏死、肾病以及高组织锌浓度。病例2的X线平片检查使得能够识别并及时从胃中取出硬币,胃镜检查3天后贫血、高淀粉酶血症和高脂肪酶血症得到缓解。病例2的血浆锌浓度显著升高。对于并发溶血性贫血和胰腺疾病的犬,应考虑锌中毒。

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本文引用的文献

1
Zinc Toxicosis in a Boxer Dog Secondary to Ingestion of Holiday Garland.一只拳师犬因误食节日花环继发锌中毒。
J Med Toxicol. 2017 Sep;13(3):263-266. doi: 10.1007/s13181-017-0602-z. Epub 2017 Feb 21.
2
Treatment of zinc toxicosis in a dog with chelation using d-penicillamine.使用青霉胺对一只狗进行螯合治疗锌中毒。
J Vet Emerg Crit Care (San Antonio). 2016 Nov;26(6):825-830. doi: 10.1111/vec.12414. Epub 2015 Nov 20.
3
Haemolytic anaemia and acute pancreatitis associated with zinc toxicosis in a dog.犬锌中毒导致溶血性贫血和急性胰腺炎。
Vet Rec. 2013 Jan 5;172(1):17. doi: 10.1136/vr.100376. Epub 2012 Nov 23.
4
THE ELIMINATION OF ADMINISTERED ZINC IN PANCREATIC JUICE, DUODENAL JUICE, AND BILE OF THE DOG AS MEASURED BY ITS RADIOACTIVE ISOTOPE (Zn).用放射性同位素 (Zn) 测量狗的胰液、十二指肠液和胆汁中被给予的锌的消除情况。
J Exp Med. 1943 Sep 1;78(3):151-9. doi: 10.1084/jem.78.3.151.
5
The ubiquitous role of zinc in health and disease.锌在健康与疾病中无处不在的作用。
J Vet Emerg Crit Care (San Antonio). 2009 Jun;19(3):215-40. doi: 10.1111/j.1476-4431.2009.00418.x.
6
Antacids in the initial management of metallic zinc ingestion in dogs.抗酸剂在犬摄入金属锌初始治疗中的应用
J Vet Pharmacol Ther. 2009 Apr;32(2):203-6. doi: 10.1111/j.1365-2885.2008.01022.x.
7
[Zinc intoxication in a Yorkshire Terrier due to Euro cent ingestion].[一只约克夏梗因误食欧元硬币导致锌中毒]
Schweiz Arch Tierheilkd. 2009 Feb;151(2):75-81. doi: 10.1024/0036-7281.151.2.75.
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Zinc intoxication in dogs: 19 cases (1991-2003).犬类锌中毒:19例(1991年 - 2003年)
J Am Vet Med Assoc. 2007 Apr 15;230(8):1174-9. doi: 10.2460/javma.230.8.1174.
9
Anuric renal failure associated with zinc toxicosis in a dog.
Vet Hum Toxicol. 2004 Oct;46(5):276-8.
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Diagnosis and treatment of zinc poisoning in a dog.
Vet Hum Toxicol. 2004 Oct;46(5):272-5.