Cook A K, Breitschwerdt E B, Levine J F, Bunch S E, Linn L O
Department of Companion Animal and Special Species Medicine, College of Veterinary Medicine, North Carolina State University, Raleigh 27606.
J Am Vet Med Assoc. 1993 Sep 1;203(5):673-9.
The medical records of 101 dogs with acute pancreatitis, diagnosed on the basis of medical histories of acute vomiting, with serum lipase or amylase activity greater than the reference range, or with gross signs of pancreatitis at surgery or histopathologic evidence at necropsy, were evaluated to identify potential risk factors for the development of acute pancreatitis. Age, sex, and breed of dogs with acute pancreatitis were compared with those from a reference population of 100 dogs admitted for other medical emergencies during the same period. Analysis of multiple regression models indicated that dogs > 7 years old were at increased risk for acute pancreatitis. Spayed dogs and castrated male dogs had an increased risk, compared with that of sexually intact males. Similarly, terrier and nonsporting breeds appeared to be at higher risk of developing acute pancreatitis than were other breed types. Most dogs in this study (63/101) had intercurrent diseases, including diabetes mellitus (n = 14), hyperadrenocorticism (n = 12), chronic renal failure (n = 8), neoplasia (n = 17), congestive heart failure (n = 6), and autoimmune disorders (n = 5). Fourteen dogs had undergone anesthesia or surgery in the week before admission; only 3 had undergone abdominal procedures. Recent medication use was listed in 52 of 101 cases. Antibiotics (n = 18) and corticosteroids (n = 18) were most frequently described. Anticancer chemotherapeutic agents (n = 5) and organophosphate insecticides (n = 5) also were listed.(ABSTRACT TRUNCATED AT 250 WORDS)
对101只急性胰腺炎犬的病历进行了评估,这些犬根据急性呕吐病史、血清脂肪酶或淀粉酶活性高于参考范围、手术中胰腺炎的明显体征或尸检时的组织病理学证据确诊,以确定急性胰腺炎发生的潜在风险因素。将急性胰腺炎犬的年龄、性别和品种与同期因其他医疗急症入院的100只犬的参考群体进行比较。多元回归模型分析表明,7岁以上的犬患急性胰腺炎的风险增加。与未绝育的雄性犬相比,绝育的雌性犬和去势的雄性犬风险增加。同样,梗犬和非运动犬种似乎比其他犬种类型患急性胰腺炎的风险更高。本研究中的大多数犬(63/101)患有并发疾病,包括糖尿病(n = 14)、肾上腺皮质功能亢进(n = 12)、慢性肾衰竭(n = 8)、肿瘤(n = 17)、充血性心力衰竭(n = 6)和自身免疫性疾病(n = 5)。14只犬在入院前一周接受了麻醉或手术;只有3只接受了腹部手术。101例中有52例列出了近期用药情况。最常提及的是抗生素(n = 18)和皮质类固醇(n = 18)。还列出了抗癌化疗药物(n = 5)和有机磷杀虫剂(n = 5)。(摘要截断于250字)