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犬尿石症:诊断与治疗

Canine urolithiasis: diagnosis and treatment.

作者信息

Lewis L D, Morris M L

出版信息

Mod Vet Pract. 1984 May;65(5):375-8.

PMID:6738511
Abstract

Over 97% of all uroliths in males less than a year of age and in females are phosphate, excluding males with portosystemic shunts and male Dalmatians . Uroliths in male Dalmatians usually are composed of urate. Uroliths associated with Staphylococcus aureus urinary tract infection are phosphate. About 60% of uroliths in adult male Basset Hounds , Bulldogs , Chihuahuas , Irish Terriers and Yorkshire Terriers are cystine. In males of other breeds, as high as 60% of uroliths are phosphate. Feeding a calculolytic diet (s/d: Hill's) results in phosphate urolith dissolution in 2-20 weeks. Long-term feeding of the calculolytic diet is not recommended, nor is use after surgery and in pregnant, lactating or growing dogs and in those with heart failure, edema, ascites or pleural effusions. Uroliths recur in 20-50% of affected dogs without subsequent dietary alteration. Use of a urolith-prevention diet (u/d: Hill's) is recommended if urolithiasis recurs.

摘要

在1岁以下的雄性犬和雌性犬中,超过97%的尿路结石是磷酸盐结石,但患有门体分流的雄性犬和雄性大麦町犬除外。雄性大麦町犬的尿路结石通常由尿酸盐组成。与金黄色葡萄球菌尿路感染相关的尿路结石是磷酸盐结石。成年雄性巴吉度猎犬、斗牛犬、吉娃娃犬、爱尔兰梗犬和约克夏梗犬中约60%的尿路结石是胱氨酸结石。在其他品种的雄性犬中,高达60%的尿路结石是磷酸盐结石。喂食溶石日粮(s/d:希尔思)可在2至20周内使磷酸盐尿路结石溶解。不建议长期喂食溶石日粮,手术后以及怀孕、哺乳或生长中的犬,以及患有心力衰竭、水肿、腹水或胸腔积液的犬也不建议使用。在没有后续饮食改变的情况下,20%至50%的患病犬尿路结石会复发。如果尿路结石复发,建议使用预防尿路结石日粮(u/d:希尔思)。

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