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犬尿石症:438例回顾性分析

Canine urolithiasis: retrospective analysis of 438 cases.

作者信息

Brown N O, Parks J L, Greene R W

出版信息

J Am Vet Med Assoc. 1977 Feb 15;170(4):414-8.

PMID:838615
Abstract

In a retrospective analysis of 438 cases of canine urolithiasis, a total of 561 urolithic episodes were found to have occurred in a 6 1/2-year period. The hospital incidence of urolithiasis during that period, defined as the proportion of dogs hospitalized with urolithiasis to the total number of dogs hospitalized, was 2.8%. The major chemical component of the calculus in 307 dogs was phosphate; in 95 dogs, cystine; in 21 dogs, urate; in 12 dogs, oxalate; and in 3 dogs, carbonate. The Miniature Schnauzer, Dachsund, Dalmatian, Pug, Bulldog, Welsh Corgi, Beagle, and Bassett Hound were breeds that had a significantly higher (P less than 0.05) incidence of calculi than did breeds of other dogs hospitalized. Predisposition for calculi, by sex, was not found. Most dogs with calculi were between 3 and 7 years old. Most calculi were radiopaque and were located in the bladder or in the bladder and urethra. Specimens for bacteriologic culture were obtained by catheterization or by swabbing of tissue at the surgical site. Of 259 specimens obtained, 181 were culture-positive. The most common organisms isolated were Staphylococcus spp, Escherichia coli, Proteus spp, Streptococcus spp, and Klebsiella spp. Most of the bacteria were sensitive to gentamicin, chloramphenicol, nitrofurantoin, cephalothin, and methanamine mandelate.

摘要

在一项对438例犬尿石症病例的回顾性分析中,发现在6年半的时间里共发生了561次尿石发作。在此期间,尿石症的医院发病率(定义为因尿石症住院的犬只占住院犬只总数的比例)为2.8%。307只犬的结石主要化学成分是磷酸盐;95只犬为胱氨酸;21只犬为尿酸盐;12只犬为草酸盐;3只犬为碳酸盐。迷你雪纳瑞、腊肠犬、斑点犬、哈巴狗、斗牛犬、威尔士柯基犬、比格犬和巴吉度猎犬的结石发病率显著高于(P<0.05)其他住院犬种。未发现结石形成的性别易感性。大多数患结石的犬年龄在3至7岁之间。大多数结石是不透X线的,位于膀胱或膀胱及尿道。通过导尿或手术部位组织擦拭获取细菌培养标本。在获取的259份标本中,181份培养呈阳性。分离出的最常见微生物是葡萄球菌属、大肠杆菌、变形杆菌属、链球菌属和克雷伯菌属。大多数细菌对庆大霉素、氯霉素、呋喃妥因、头孢噻吩和孟德立胺敏感。

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