一例犬子宫蓄脓的手术疗法

犬子宫蓄脓是异常的子宫内膜继发病原微生物感染引起的子宫腔内积有脓液的疾病。外阴部不洁、配种、产后感染或死胎、难产助产感染等均可引起。此外,内分泌失调(如雌激素分泌过多)或地塞米松和其他类固醇药应用过多和卵巢囊肿等卵巢疾病也可继发。多见于化脓性子宫内膜炎和急、慢性子宫内膜炎等。患犬常有脓性或血性阴道分泌物。患病初期易误诊,若不及时治疗可继发子宫溃疡或穿孔、贫血、肾小球肾炎及败血症而死亡。1病例北京犬,6岁,体重7kg。主诉该犬已病8d左右,曾产过2胎。发病前身体健康,活泼好动。无子宫内膜炎病史。主要表现精神沉郁,…     

一例犬子宫蓄脓并发败血症的诊断和治疗

子宫蓄脓综合征是指子宫内蓄积大量脓液并伴有子宫内膜增生的炎症。临床上可呈现子宫蓄脓、子宫内膜炎、子宫脓肿等多种疾病的症候群。其发病原因主要与母犬体内激素代谢紊乱、微生物感染、机械性刺激有关。该病按子宫颈开放与否可分为闭锁型和开放型两种[1]。多见于发情后2~3月内未经产或经产而屡配不孕的6岁以上的中老龄犬,发病率和复发率高[2]。     

一例母犬子宫蓄脓的诊断与治疗

该文介绍一例母犬子宫蓄脓的治疗,并对手术的注意事项及日常管理进行分析讨论,以期为有效防治该病提供参考。     

犬子宫蓄脓病例分析

犬的子宫蓄脓是子宫内膜继发病原微生物感染引起的疾病，多发生于发情后2～3个月的初产犬或屡配不孕的中高龄犬。临床上多见患犬阴道有脓性或血性分泌物排出。当患犬子宫颈口闭锁或子宫颈过细不能排出脓汁时，导致子宫内蓄积大量脓汁。根据子宫颈开放与否可分为闭锁和开放两类。     

一例犬子宫蓄脓的病例报告

犬子宫蓄脓是指犬子宫里有大量脓液积聚,并伴有子宫内膜异常增生、常合并细菌感染,根据子宫颈是否开放分为闭合型和开放型。临床上常用B超、X光和穿刺来确诊。根据子宫蓄脓的程度在治疗上可采取保守治疗和手术治疗。近日来我院就诊的犬正是患有子宫蓄脓症。     

犬子宫蓄脓的诊断

犬子宫蓄脓是子宫内膜继发病原微生物感染引起的子宫腔内积有脓液的疾病,根据子宫颈开放与否可分为开放型和闭锁型两类,若治疗不当常会严重损害母犬身体健康甚至导致死亡。外阴部不洁、配种、产后感染或死胎、难产助产感染等均可引起该病,多发生于发情后2个月～3个月的初产犬或屡配不孕的中高龄犬。临床上多见患犬阴道有脓性分泌物排出。     

一例犬子宫蓄脓的诊断及手术治疗

通过对1例金毛犬进行血常规、血液生化检查及X光片、B超检查,诊断为子宫蓄脓,采取切除子宫的手术方法治疗后痊愈。     

犬子宫蓄血(脓)的诊治

犬子宫蓄血 (脓 )在门诊中不太常见 ,容易误诊 ,笔者在兽医门诊过程中曾见 2例。病例 1　吉娃娃 ,体重 1 .5kg,2岁 ,怀孕59d后产下 1仔犬 (出生后死亡 ) ,母犬产后 2周阴道出血。注射黄体酮 3 d,阴道仍出血不止 ,颜色由红色变成紫色。外观精神尚可 ,眼结膜微红 ,鼻镜干燥 ,外阴肿大 ,并排出血样分泌物 ,阴户周围被毛被阴道分泌物污染 ,体温 3 9.2℃。根据病史和临床症状 ,综合分析诊断为子宫蓄血 (脓 )。临床给予注射地塞米松、抗菌素 (主要是乐百兽配鱼腥草 )及缩宫素 ,剂量为 :乐百兽 1 .5ml/kg,鱼腥草 2 .0 ml/kg,每天 2次。 3 d后病情明…     

手术治疗犬子宫蓄脓的诊治体会

正犬子宫蓄脓是指因子宫内膜异常增生且继发病原微生物感染而引起母犬的一种生殖系统疾病。笔者在12年的犬病诊治中,采用手术疗法治疗犬子宫蓄脓症的犬只40余例,均取得了较好的疗效,现介绍如下,仅供临床工作者参考。1发病情况犬子宫蓄脓综合症容易发生在以下几种群体:①长期使用雌激素的母犬,②从未生育过或生育少的母犬,③做过剖腹产手术的母犬,④年龄较大的母犬,⑤假孕或交     

犬子宫蓄脓的诊治

子宫蓄脓继发于化脓性子宫内膜炎及急慢性子宫内膜炎、化脓性乳房炎及其它部位化脓灶的转移。闭锁型病例腹围增大,子宫胀满,触诊有波动感。开放型病例阴道流出灰黄或棕红色脓液,有强烈的腥臭味。笔者在临床中遇到的患病犬只经过手术治疗,取得了良好效果。     

犬子宫蓄脓的诊疗

犬的子宫蓄脓即母犬子宫内蓄积大量脓性分泌物并伴有子宫内膜增生性炎症,是母犬在发情间期由于孕酮的长期刺激和细菌感染所引起的子宫腔和子宫内膜疾病。本病在临床上时有发生,根据我院临床统计,本病多发于未经产或经产而屡配不孕的中老年犬、小型犬（如京巴犬、贵宾犬等）,约占此类病例的80％以上。常于发情后2～3月内发病。子宫蓄脓根据子宫颈的开放与否可分为闭锁型和开放型,这两种类型的治疗重点又不尽相同。本文就其中一例闭锁型的典型病例谈谈诊疗体会。     

犬子宫蓄脓继发全身黄染的诊治

近几年来,我们在门诊中先后诊治子宫蓄脓继发急性肝炎、胆囊炎,引起全身黄染的病例8例。8例病例都是生产2胎以上的小型母犬。其中有3例是1年前子宫蓄脓经非手术治疗已经好转,再度复发后继发急性肝炎,胆囊炎的;有5例是首次发生子宫蓄脓,由于没有及时采用彻底排除脓液的方法治疗,     

也谈犬子宫蓄脓症的诊断与治疗

子宫蓄脓(pyometra)指子宫内积有脓液,是发情后期的一种急性或慢性疾病.本病往往涉及多个系统,特征是子宫内膜异常并继发细菌感染.根据子宫颈的开放与否可分为开放型与闭合型.本病多发于成年未经交配、怀孕、结扎(卵巢摘除)的母犬,且以6岁以上的中老龄母犬居多.患犬多在发情后3周～8周内发病.随着年龄的增长,发病率增多.子宫蓄脓是犬生殖系统疾病中危害较大的一种疾病,发生率似有逐年增加的趋势.     

Prostaglandin F2 alpha treatment of canine pyometra

Immediate and long-term outcomes of prostaglandin F2 alpha treatment for canine pyometra were studied in 10 bitches. Examination of pretreatment uterine biopsy specimens, taken for histopathologic diagnosis and classification of disease severity, revealed either type III or IV pyometra. Dinoprost tromethamine (0.25 or 0.5 mg/kg of body weight, SC) was given once daily for 3 days. Bitches were bred at the first posttreatment estrus and monitored for a minimum of one year. When pure cultures of Escherichia coli (n = 3) or Staphylococcus aureus (n = 1) were obtained from the vagina, these bacteria also were found in the uterus. Pretreatment WBC counts often did not reflect the severity of histopathologic findings in the uterus, but posttreatment WBC counts were useful in monitoring response to treatment. Four bitches produced a litter within one year of treatment. Four bitches (40%) had recurrence of pyometra within one year of treatment, and these same bitches had another recurrence after an additional prostaglandin treatment. Three additional bitches had a recurrence by 27 months after therapy, establishing a total recurrence rate of 77% (7/9). Results suggested that subclinical disease may persist after treatment, with clinical recurrence during diestrus. Despite the high recurrence rate, it was concluded that this treatment is a practical treatment for canine pyometra when reproduction is desired.     

浅述犬子宫蓄脓的临床诊疗

犬的子宫蓄脓多在发情后月余发病,按子宫颈开放与否可分为闭锁与开放2种类型。文中叙述了该病的临床症状,实验室及特殊检查,诊断和治疗的方法。该病的发生与体内高水平的孕酮、子宫内膜囊泡性增生及子宫组织的抵抗力降低有关。手术摘除子宫卵巢是目前治疗该病最为有效的方法。     

Surgical uterine drainage and lavage as treatment for canine pyometra

Pyometra is a common post-oestral syndrome in bitches. Classical treatment consists of either ovariohystorectomy or medical intervention. Surgical uterine drainage and lavage via direct trans-cervical catheterisation using a 5% povidone-iodine in saline solution was performed successfully in 8 bitches with pyometra. All bitches conceived and whelped without complications subsequent to this treatment. It is concluded that this method offers an effective alternative treatment for canine pyometra with shorter recovery times as well as good clinical recovery and pregnancy rates in bitches destined for further breeding.     

犬子宫蓄脓症的研究进展

犬子宫蓄脓症是犬发情后期的一种急性或慢性疾病,多发于成年母犬,是宠物门诊常见的疾病之一.本文对子宫蓄脓的临床类型、病因、诊断和治疗等方面的研究进展进行了综述.     

Use of low dose prostaglandin for the treatment of canine pyometra

Ten bitches with pyometra were treated with prostaglandin F_2α at a dose of 20 μg/kg bodyweight three times daily on consecutive days. Diagnosis was based on clinical signs and radiographic findings. Venous blood samples were collected for haematology and measurement of plasma progesterone levels. The response to treatment was monitored by repeated ultrasonic examinations. The treatment was continued for up to eight days. Seven out of 10 bitches responded well to treatment. The remaining three bitches underwent ovariohysterectomy and a cystic hyperplasia of the endometrium was diagnosed histologically. The results indicated that prostaglandin F_2α used at the low dose is sufficient for medical treatment of certain cases of pyometra. The treatment seems to be most effective in bitches without obvious hormonal imbalance. The aetiology of pyometra is discussed.     

犬子宫蓄脓的病因学及病理变化特征

子宫蓄脓的发生与病犬的年龄、血清中的孕酮水平、细菌感染、孕酮与雌激素受体及多种细胞因子有关。以6岁以上犬多发,大肠杆菌为常见感染菌,子宫内膜囊性增生是发情后期发生的。子宫蓄脓是由血液中孕酮水平升高,在雌激素的协同作用下,继发细菌感染引起的。除引起生殖系统器官的损害外,还包括肾脏、肝脏和骨髓等器官,严重病例可能发生毒血症、败血症。多数病犬出现幼稚型嗜中性白细胞增多症[1],WBC总数可升高到2×104~105个/μL[1]。该病的严重程度与子宫颈的开放与否、发情周期所处阶段、子宫内细菌感染的存在与否、疾病的持续时间、生殖道及生殖系统外的损害程度等因素有关。