Uehlinger P, Glaus T, Stöckli R, Flückiger M, Leuch F
Veterinär-Medizinische Klinik der Universität Zürich.
Schweiz Arch Tierheilkd. 1997;139(10):449-53.
Iron lack anemia due to chronic blood loss was diagnosed in a 12 year old dog based on typical hematological abnormalities including moderate regenerative anemia (Hct 21%) and microcytosis (MCV 39 fl). Clinical abnormalities included weakness and episodic vomiting. Chronic occult blood loss in adult dogs most commonly occurs in the gastrointestinal tract associated with ulcus or neoplasia. Possible diagnostic steps include radiographs, abdominal ultrasound, gastroduodenoscopy and exploratory laparotomy. In the dog of this report gastric and duodenal adenocarcinomata were found during necropsy confirming the clinical suspicion of a bleeding gastrointestinal malignancy.
一只12岁的犬因慢性失血被诊断为缺铁性贫血，诊断依据是典型的血液学异常，包括中度再生性贫血（血细胞比容21%）和小红细胞症（平均红细胞体积39飞升）。临床异常表现包括虚弱和间歇性呕吐。成年犬慢性隐匿性失血最常见于胃肠道，与溃疡或肿瘤有关。可能的诊断步骤包括X光检查、腹部超声、胃十二指肠镜检查和剖腹探查术。在本报告的犬尸检过程中发现了胃和十二指肠腺癌，证实了临床上对胃肠道出血性恶性肿瘤的怀疑。
