Hess R S, Kass P H, Shofer F S, Van Winkle T J, Washabau R J
Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia 19104-6010, USA.
J Am Vet Med Assoc. 1999 Jan 1;214(1):46-51.
To identify risk factors associated with fatal acute pancreatitis in dogs.
Case-control study.
70 case dogs with clinical evidence and histopathologic confirmation of fatal acute pancreatitis and 104 control dogs that had trauma, underwent necropsy, and did not have histologic evidence of acute pancreatitis.
Information on signalment, weight, body condition, medical history, concurrent disease, and results of histopathologic examination was obtained by reviewing medical records. Logistic regression analysis included calculation of univariate and multivariate (adjusted) odds ratios and 95% confidence intervals. RESULTS AND CLINICAL IMPLICATIONS: Dogs with fatal acute pancreatitis were largely middle- to older-aged dogs. Risk of developing fatal acute pancreatitis was increased by overweight body condition, diabetes mellitus, hyperadrenocorticism, hypothyroidism, prior gastrointestinal tract disease, and epilepsy. Additionally, Yorkshire Terriers were at increased risk, and Labrador Retrievers and Miniature Poodles were at decreased risk, of developing fatal acute pancreatitis. Males and neutered females appeared to have an increased risk of developing fatal acute pancreatitis, compared with sexually intact females. Thrombus formation was more likely in dogs that developed fatal acute pancreatitis than in control dogs.
确定与犬致命性急性胰腺炎相关的风险因素。
病例对照研究。
70例有临床证据且经组织病理学证实为致命性急性胰腺炎的犬,以及104例有创伤、接受尸检且无急性胰腺炎组织学证据的对照犬。
通过查阅病历获取有关品种、体重、身体状况、病史、并发疾病以及组织病理学检查结果的信息。逻辑回归分析包括计算单变量和多变量(校正后)比值比及95%置信区间。
致命性急性胰腺炎的犬大多为中年至老年犬。超重的身体状况、糖尿病、肾上腺皮质功能亢进、甲状腺功能减退、既往胃肠道疾病和癫痫会增加发生致命性急性胰腺炎的风险。此外,约克夏梗犬发生致命性急性胰腺炎的风险增加,而拉布拉多寻回犬和迷你贵宾犬的风险降低。与未绝育雌性犬相比,雄性犬和绝育雌性犬发生致命性急性胰腺炎的风险似乎更高。发生致命性急性胰腺炎的犬比对照犬更易形成血栓。