Dimski D S
Willamette Veterinary Referral Center, Corvallis, OR 97333, USA.
Semin Vet Med Surg Small Anim. 1997 Feb;12(1):28-33. doi: 10.1016/s1096-2867(97)80041-2.
Hepatic lipidosis occurs when lipid mobilized to the liver exceeds lipid leaving the liver via formation of very-low-density lipoproteins or by oxidation. Hepatic lipidosis in cats is associated with overt liver dysfunction. In affected cats, excess lipid is mobilized to the liver because of starvation. Removal of hepatic lipid may be impaired because of protein malnutrition, a relative carnitine deficiency, or oxidative damage to peroxisomes and other hepatic organelles. Hepatic lipidosis occurs in adult cats, and is manifest by signs of weight loss, depression, vomiting, and icterus. Diagnosis is achieved by evaluating laboratory and diagnostic imaging data, in conjunction with a liver biopsy. Aggressive tube feeding is the treatment of choice. With this treatment, survival rates are 60% to 80%.
当动员至肝脏的脂质超过通过极低密度脂蛋白形成或氧化作用离开肝脏的脂质时,就会发生肝脏脂肪变性。猫的肝脏脂肪变性与明显的肝功能障碍有关。在受影响的猫中,由于饥饿,过多的脂质被动员至肝脏。由于蛋白质营养不良、相对的肉碱缺乏或过氧化物酶体及其他肝细胞器的氧化损伤,肝脏脂质的清除可能会受到损害。肝脏脂肪变性发生于成年猫,表现为体重减轻、抑郁、呕吐和黄疸等症状。通过评估实验室和诊断成像数据,并结合肝脏活检来进行诊断。积极的管饲是首选的治疗方法。采用这种治疗方法,存活率为60%至80%。