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临床检查在牛神经疾病准确诊断中的作用。

The role of clinical examination in the accurate diagnosis of bovine neurologic disease.

作者信息

Sherman D M

出版信息

Vet Clin North Am Food Anim Pract. 1987 Mar;3(1):1-12. doi: 10.1016/s0749-0720(15)31175-0.

DOI:10.1016/s0749-0720(15)31175-0
PMID:3494489
Abstract

Accurate, specific diagnosis of bovine neurologic disease is both possible and necessary in practice settings. The requirements for accurate diagnosis are a knowledge of the pathogenesis and epizootiology of the bovine neurologic diseases as described in this issue and a systematic approach to clinical examinations including accurate history taking, careful physical examination, neurologic examination, and inspection of the environment. Support for an accurate diagnosis can be obtained by use of the clinical pathology laboratory and, in herd problems, necropsy. The value of a precise diagnosis in bovine neurologic disease lies in the avoidance of costly, inappropriate therapy, the restriction of transmission of zoonotic disease, avoidance of ineffective treatment, more efficient salvage of affected individuals, and cost-efficient implementation of appropriate preventive measures as well as a sense of professional satisfaction in overcoming a challenging and difficult diagnostic problem.

摘要

在实际临床环境中,准确、特异性地诊断牛神经疾病是可行且必要的。准确诊断的要求包括了解本期所述牛神经疾病的发病机制和流行病学,以及采用系统的临床检查方法,包括准确的病史采集、仔细的体格检查、神经学检查和环境检查。借助临床病理实验室以及在群体问题中通过尸体剖检,可为准确诊断提供支持。精确诊断牛神经疾病的价值在于避免代价高昂且不恰当的治疗、限制人畜共患病的传播、避免无效治疗、更有效地挽救患病个体、经济高效地实施适当的预防措施,以及在攻克具有挑战性的诊断难题时获得职业满足感。

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