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[绵羊的临床肾功能研究。III. 绵羊肾病及公羊和雄山羊尿路结石的病理功能变化]

[Clinical kidney function studies in sheep. III. Pathologic function changes in nephropathies of sheep and in urolithiasis of rams and billy goats].

作者信息

Bickhardt K, Ganter M, Steinmann Chavez C

机构信息

Klinik für kleine Klauentiere und forensische Medizin, Tierarztlichen Hochschule Hannover.

出版信息

Dtsch Tierarztl Wochenschr. 1995 Jan;102(1):59-64.

PMID:7781544
Abstract

Examination of renal function have been carried out in sheep with acute prerenal (n = 6), renal (n = 15) or postrenal failure (n = 3), pyelocystitis (n = 4), and in cases of urolithiasis in rams (n = 16) and billy goats (n = 11) respectively. The calculation of parameters was done on the basis of the estimated weight dependent endogenous creatinine excretion. A control group of 56 healthy non pregnant or early pregnant (< 120th day of pregnancy) ewes have been used. The renal creatinine clearance was reduced and the absolute as well as the fractional renal water excretion was enhanced in all groups of sick animals. An elevated fractional excretion of sodium and phosphate could be seen as well. Functional disturbances could be observed in urolithiasis in like manner as in acute renal failure. There was proteinuria, glucosuria, excessive potassium excretion and often decreased plasma concentration of potassium in both syndromes. A hyperkalemia occurred only in the final state of urolithiasis. No clinical outcome of chronic nephropathies could be seen. Mortality of the described acute nephropathies was about 76%. The results of examination were suitable to control the course and restitution of renal function. They were not helpful for differential diagnosis and prognosis of acute renal failure.

摘要

已分别对患有急性肾前性(n = 6)、肾性(n = 15)或肾后性肾衰竭(n = 3)、肾盂膀胱炎(n = 4)的绵羊,以及患有尿路结石的公羊(n = 16)和雄山羊(n = 11)进行了肾功能检查。参数计算基于估计的体重依赖性内源性肌酐排泄量。使用了一个由56只健康的未怀孕或早孕(妊娠<120天)母羊组成的对照组。所有患病动物组的肾肌酐清除率均降低,肾水的绝对排泄量和分数排泄量均增加。还可观察到钠和磷酸盐的分数排泄增加。尿路结石中的功能障碍与急性肾衰竭中的情况相似。两种综合征均存在蛋白尿、糖尿、钾排泄过多,且血浆钾浓度常降低。高钾血症仅发生在尿路结石的终末期。未观察到慢性肾病的临床结局。所述急性肾病的死亡率约为76%。检查结果适合于控制肾功能的进程和恢复情况。它们对急性肾衰竭的鉴别诊断和预后没有帮助。

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