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马类脑膜炎:在一次或两次静脉内低剂量 gentamicin 注射后的结果和不良反应
S Morén1, M Kallberg1, L Strom1
1Equine Clinic, University Animal Hospital, Swedish University of Agricultural Sciences, Uppsala, Sweden.
Equine veterinary journal
|February 8, 2024
概括
慢性脑膜炎的马体内注射低剂量珍塔素 (IVGI) 显示出41%的阳性结局率. 然而,视网膜退化等并发症发生在22%的眼睛中,需要仔细考虑这种治疗.
科学领域:
- 兽医眼科医生 兽医眼科医生
- 马类医学 马类医学
- 药理学 药理学是指药理学的学科.
背景情况:
- 马的慢性脑膜炎会导致视力受损或失明.
- 目前的治疗方法通常需要长期服用药物,可能会产生副作用.
- 用低剂量 gentamicin (IVGI) 进行静脉内注射正在研究马匹持续性脑膜炎的治疗.
研究的目的:
- 为了评估低剂量静脉内 gentamicin 注射的结果和长期并发症 (IVGI) 在瑞典马患有慢性脑膜炎.
- 评估一两种IVGI治疗方法在治疗马类慢性脑膜炎的有效性.
主要方法:
- 在2016年至2021年期间被诊断患有慢性脑膜炎的马匹的回顾性病例系列.
- 纳入标准:用4毫克IVGI治疗的马,有些人接受了持续性脑膜炎的第二次注射.
- 积极的结果被定义为控制的卵膜炎,使用极少或不使用抗炎药物.
主要成果:
- 41% (13/32眼) 的马在一次或两次IVGI治疗后取得了积极的结果.
- 并发症包括视网膜退化 (22%的眼睛) 和成熟的白内障 (15.6%的眼睛).
- 由于治疗失败或并发症,在14/32只眼睛中进行了化;一匹马被安乐死.
结论:
- 低剂量IVGI在41%的治疗马眼中产生了积极的结果,主要是前额膜炎.
- 视网膜退化是一个值得注意的并发症,观察到的比例比以前报告的要高 (22%).
- 限制包括小样本规模,回顾性设计和缺乏对照组.
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