Meyer D J, Iverson W O, Terrell T G
J Am Vet Med Assoc. 1980 Jan 1;176(1):41-4.
A cholestatic syndrome was the primary manifestation of chronic active hepatitis in a dog. Enzyme determinations did not differentiate between extrahepatic and intrahepatic cholestasis as the cause of the conjugated hyperbilirubinemia, thus necessitating percutaneous liver biopsy. The dog was treated with prednisolone but developed gastrointestinal hemorrhage and terminal hepatic encephalopathy. Morphologic variations in liver biopsy specimens obtained simultaneously and in the specimen obtained at necropsy demonstrated that the disease activity varied by locales in the liver.
胆汁淤积综合征是一只犬慢性活动性肝炎的主要表现。酶测定无法区分肝外和肝内胆汁淤积作为结合胆红素血症的病因,因此需要进行经皮肝活检。这只犬接受了泼尼松龙治疗,但出现了胃肠道出血和终末期肝性脑病。同时获取的肝活检标本以及尸检时获取的标本中的形态学变化表明,肝脏不同部位的疾病活动情况有所不同。