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[临床实践中马呼吸道疾病的检查与治疗]

[Examination and treatment of respiratory tract diseases in the horse in clinical practice].

作者信息

Breuer D

出版信息

Tierarztl Prax Suppl. 1987;2:15-20.

PMID:3590156
Abstract

In spite of regular vaccinations against equine influenza we are still observing a high rate of patients with respiratory problems in the equine practice. In our practice in Munich Riem, into which a horse clinic has been integrated, 4000 horses have been treated in 1985 alone. 874 of these showed some form of respiratory disease (= 22%). All of the 4000 horses have only been treated curatively, i.e. preventive forms of treatment such as vaccinations, deworming and examinations for insurance companies and prior to selling have not been taken into account. From 1983 until today in our clinic 256 horses with COPD had undergone clinical treatment. While out-patient horses had been treated for acute, subacute and chronic diseases of the respiratory system, in-patients were examined and treated for chronic respiratory disorders. Hospitalised horses had previously undergone treatment for varying periods of time. Apart from endemic or epidemic horse affections with signs of acute infections, the majority of patients treated belonged to a basically sound population. In the latter cases it is often just not possible to ascertain the individual causes of respiratory disease. Following documentation of the history of the present illness and after careful clinical examination including determination of breath frequency and type, lung auscultation and endoscopy (laryngoscopy, bronchoscopy), a symptomatic treatment of the horse is usually initiated. In cases of laryngitis or laryngotracheitis inhalations may be successful.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

尽管定期接种马流感疫苗,但在马科动物医疗实践中,我们仍观察到患有呼吸道疾病的患者比例很高。在我们位于慕尼黑里姆的诊所(该诊所已并入一家马匹诊疗所),仅在1985年就治疗了4000匹马。其中874匹表现出某种形式的呼吸道疾病(占22%)。这4000匹马均仅接受了对症治疗,即未考虑诸如疫苗接种、驱虫以及为保险公司和出售前进行的检查等预防性治疗形式。从1983年至今,我们诊所共对256匹患有慢性阻塞性肺病(COPD)的马进行了临床治疗。门诊的马匹接受了呼吸系统急性、亚急性和慢性疾病的治疗,住院的马匹则接受了慢性呼吸道疾病的检查和治疗。住院马匹此前已接受了不同时长的治疗。除了有急性感染迹象的地方性或流行性马匹疾病外,接受治疗的大多数病马原本健康状况良好。在后一种情况下,往往无法确定呼吸道疾病的具体病因。在记录现病史并进行仔细的临床检查(包括测定呼吸频率和类型、肺部听诊和内窥镜检查(喉镜检查、支气管镜检查))之后,通常会对病马进行对症治疗。对于喉炎或喉气管炎病例,吸入治疗可能会有效。(摘要截取自250字)

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