Dickie M B, Arbeiter K
Clinic of Obstetrics, Gynaecology, Andrology and Artificial Insemination, University of Veterinary Medicine, Vienna, Austria.
J Reprod Fertil Suppl. 1993;47:471-5.
Within the last 19 years, 20 cases of placentitis post partum have been studied at the clinic. On 14 occasions the condition took the form of excessive uterine bleeding (metrorrhagia) post partum and, on five occasions, of prolonged vaginal discharge lasting 8-13 weeks post partum. One bitch with a clinically undetectable form of this disorder was diagnosed at ovariohysterectomy. The average age of the bitches was 4.5 years (range 2-6 years). Examinations included abdominal palpation, vaginoscopy, vaginal smear examination and, if necessary, radiography and ultrasonography. The presence of decidua-like cells in the smear was confirmed as evidence of abnormal uterine involution. Six dogs were subjected to ovariohysterectomy; histological examination revealed inflamed and degenerated areas of the uterine surface. Decidualike cells were seen for up to 10 weeks post partum. Fourteen bitches were treated successfully with an injection of the progestagen Niagestin (25-50 mg per bitch) and both intrauterine and parenteral antibiotics were administered. The discharge stopped within a few days in all dogs treated. A subsequent normal pregnancy occurred in four cases.
在过去19年里，该诊所对20例产后胎盘炎病例进行了研究。其中14例表现为产后子宫出血过多（子宫出血），5例表现为产后阴道分泌物持续时间延长，长达8 - 13周。1只患有这种临床难以察觉形式疾病的母犬在卵巢子宫切除术中被诊断出来。母犬的平均年龄为4.5岁（范围为2 - 6岁）。检查包括腹部触诊、阴道镜检查、阴道涂片检查，必要时还包括放射学检查和超声检查。涂片中蜕膜样细胞的存在被确认为子宫复旧异常的证据。6只犬接受了卵巢子宫切除术；组织学检查显示子宫表面有炎症和变性区域。产后长达10周都可见到蜕膜样细胞。14只母犬通过注射孕激素Niagestin（每只母犬25 - 50毫克）成功治疗，并给予子宫内和非肠道抗生素。所有接受治疗的犬的分泌物在几天内停止。4例随后出现了正常妊娠。
