富含脂质的腹部液体模仿马的腹部
Flavio H Alonso1,2, Juliann Hallum1, Stefanie Arndt1,3
1Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California-Davis, Davis, CA, USA.
概括
一匹马经历了急性结肠和富含脂质的腹液,通过腹腔镜检查诊断出来. 液体消失了,但由于并发症,马被安乐死,怀疑原因是体内脂瘤.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 马类内部医学 马类内部医学
- 胃肠病学 胃肠病学
背景情况:
- 急性结肠是马匹常见的紧急情况.
- 富含脂质的腹液 (胆腹液) 在马中很少见,诊断可能具有挑战性.
- 马中胆腹病的病因通常不清楚.
研究的目的:
- 报告一种患有急性结肠的马的富含脂质腹液病例.
- 描述诊断发现和临床过程.
- 讨论腹在马医学中的潜在原因和影响.
主要方法:
- 腹腔镜检查进行,以分析腹液.
- 液体分析包括视觉检查和三糖度测量.
- 启动了医疗管理,并密切监测了马.
- 尸体解剖进行,以确定潜在的病理.
主要成果:
- 腹腔镜检查显示不透明的,黄色到色的腹液,含有明显升高的甘油三水平 (42 g/L).
- 液体甘油与血清甘油的比率为11.4,明显高于参考区间.
- 随后的腹腔镜检查显示了清晰的液体,表明过渡性肌腹部.
- 尸体解剖显示,体上有脂瘤和性胃炎,但没有腹溢液.
结论:
- 这一案例突出显示了一种罕见的过渡性腹的表现,这种表现在患有的马身上很罕见.
- 一个omental脂瘤是一个潜在的,虽然未被证实,为脂质丰富的腹液有贡献的因素.
- 需要进一步调查马匹腹的原因.
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