The Effects of Hypertonic Saline in Healthy and Diseased Animals

In this review, the pharmacological effects of administering hypertonic solutions to both healthy animals and during experimentally induced diseases are considered with a view to understanding the mechanisms behind the possible clinical efficacy of such treatment. The review focuses successively on haemorrhagic shock, endotoxic shock and hypokalaemic metabolic alkalosis. How hypertonic saline solutions affect oxygen transport by haemoglobin is also considered.     

Effect of Blood Transfusion in Combination with Dextran-40 and Hypertonic Saline Solution on Cardiopulmonary Haemodynamics of Endotoxin (Lipopolysaccharide) Shock in Buffalo Calves

The intravenous (i.v.) infusion of lipopolysaccharide (LPS) of E. coli endotoxin in buffalo calves (n = 15) at 5 μg/kg bw per h for 3 h caused a significant (p<0.05) fall in plasma volume, blood volume, haematocrit haemoglobin, and systolic, diastolic and pulse pressure, mean arterial pressure and central venous pressure (CVP), with a marked rise in respiration. Treatment with a combination of i.v. infusion of 7.2% hypertonic saline solution, Plasmex-D-40 (Dextran-40) and blood successfully alleviated hypovolaemia, and raised systolic, diastolic and pulse pressure, mean arterial pressure and central venous pressure. The whole blood was collected from apparently healthy male buffalo calves 24 h prior to infusion and was transfused without cross-matching. No significant fall in haemoglobin, haematocrit and body temperature was observed after transfusion. All these values tended to remain near normal levels. However, this combination of treatment had no effect on high respiratory rate. A one-time blood transfusion did not evoke any cross-reaction and was helpful in raising haematocrit and haemoglobin close to pre-infusion values. The general symptoms of restlessness, respiratory distress, profuse salivation, violent movement of the ears, snoring, intermittent struggle, etc. were markedly reduced. All the treated animals became quiet and lay with eyes open and survived the 7 h of observation.     

Exacerbation of Hyperlactatemia by Infusion of Lactated Ringer''s Solution in Dogs With Lymphoma

Blood lactate concentrations and acid-base status of six dogs with lymphoma were compared statistically with those from six healthy control dogs before, during, and after a 6-hour infusion of lactated Ringer's solution (LRS). Blood lactate concentrations in dogs with lymphoma were significantly (P less than 0.05) higher immediately before, and at the 1-, 2-, 4-, and 6-hour time periods after infusion when compared with controls. Blood lactate concentrations increased significantly (P = 0.016) after the first hour of infusion in dogs with lymphoma but did not increase in the control dogs. The increase in blood lactate concentrations over baseline values after 1 hour of LRS infusion was significantly (P = 0.008) greater in dogs with lymphoma when compared with controls. Blood lactate concentrations returned to baseline levels after 2 hours of infusion in dogs with lymphoma, suggesting that dogs with lymphoma have a transient inability to handle increased lactate loads when compared with controls. However, the potential to augment lactate use, clearance, or both is present and does occur over time. Blood gas values were not significantly altered within the lymphoma or control dog groups after 6 hours of LRS infusion. Blood bicarbonate concentrations in dogs with lymphoma were significantly decreased before and after LRS infusion when compared with controls.     

Treatment of Spinal Disorders in Dogs by Manipulation

Abstract— Manipulation (sudden tug or twisting movements exceeding the extreme limits of the vertebral articulations) has been applied to thirty-four dogs: nine dachshunds, nine cocker spaniels, ten pekinese and six various breeds, all with pain and stiffness in the cervical and/or thoraco-lumbar region, often accompanied by lameness, paresis, ataxia or paraplegia. Nine cases were examined by X-ray. There were no pathological findings in two, four showed medium to severe discopathia with calcifications and protrusions, and in three there was spondylo-arthrosis ossificans. By manipulation of the spine (in fourteen cases only once, in the other cases two to five times each), twenty-four were completely restored and had normal mobility and no pain. Five dogs suffered relapses several months or years later but were again restored by renewed manipulation. Four cases were free of symptoms or ameliorated at the end of the treatment, but further information is not available. One case (total paralytic paraplegia caused by a chondro-fibroma) was incurable and euthanized.     

宠物犬弓形虫病诊疗措施

弓形虫病属于一种分布范围非常广泛的人畜共患原虫病,幼犬、猫的发病率比较高。弓形虫宿主非常广泛,目前国内对弓形虫病的研究以家禽为主要研究对象,针对宠物犬弓形虫病诊疗及流行病学进行探讨对人类健康也有积极意义。     

右美托咪定复合利多卡因持续输注对犬异氟烷麻醉的影响

为了减小异氟烷麻醉的不良反应,获得良好的麻醉效果,探讨了盐酸右美托咪定和利多卡因复合静脉输注对异氟烷麻醉效果的影响。将12只临床健康的小型成年犬随机分为单一异氟烷(13mL/L)维持麻醉组(ISO)和右美托咪定(每小时2μg/kg静脉输注)-利多卡因(每小时50μg/kg静脉输注)-异氟烷(7.5mL/L)复合维持麻醉组(LDI)。两组犬均采用相同的麻醉前处理并辅助机械通气,麻醉维持时间1h,并监测和记录各项麻醉相关指标。结果显示,与ISO组相比,复合麻醉组犬只能更快地进入麻醉稳定期(P0.01),镇静、镇痛和肌松效果更好(P0.05),恢复苏醒的时间也更短(P0.01);期间动物心率明显降低(P0.01),但血压和血气离子浓度变化相对稳定。此外,心脏出现的代偿性扩张(P0.05)和血液动力学变化并未明显影响心脏的收缩和射血功能,均在临床可接受范围内。结果表明,盐酸右美托咪定和利多卡因复合用药可减少异氟烷的使用浓度,提供稳定的麻醉效果,动物的苏醒质量更佳,可以用于临床麻醉。     

Preliminary Report: The Development of an Intraosseous Infusion Technique for Neonatal Foals

Six normal foals between the ages of 2 and 7 days were used in this study to develop a technique for intraosseous infusion in equine neonates. A 14-gauge 1/2-inch needle was placed intraosseously in the right proximal medial one-third aspect of the radius and tibia of each foal. A maximum of 1 L of isotonic fluids was administered intraosseously at these sites. Radiographs were taken at the time of intraosseous needle placement, and at days 10, 30, and 60 following the procedure. The mean time for needle placement was 33 seconds for the tibia and 63 seconds for the radius. The mean fluid flow rates for the tibia were 47 mL/min and for the radius 27 mL/min. Minimal technical difficulties were encountered with the intraosseous site in the tibia, but subperiosteal and/or subcutaneous fluid leakage and needle displacement or occlusion were commonly seen in the radius. The local soft tissue swellings and periosteal reactions seen following the procedure had resolved by 2 months. Intraosseous infusion offers a safe, practical, and effective alternative to vascular access for fluid administration in neonatal foals. (Journal of Veterinary Internal Medicine 1993; 7:377–382. Copyright © 1993 by the American College of Veterinary Internal Medicine.)     

犬出血性胃肠炎的诊治

犬出血性胃肠炎是一种急性胃肠炎综合症,以突然发病,急性死亡,或呕吐、腹痛、腹泻及排胶冻样粘液性粪便为特征,发病率高,大小型犬均可发病,多发于秋冬季节,是门诊常见病。其病因有原发性、继发性。现仅就原发性出血性胃肠炎的诊疗方法报告如下,以供参考。1发病原因患犬多为食入     

宠物失血性虚脱的救治

宠物会在互相咬伤出血、手术出血、细小病毒肠炎出血、冠状病毒出血、副伤寒等肠道大出血时,由于失血过多,使有效循环血量不足,造成脑组织及心肺肾等内脏器官严重缺血、缺氧、脱水而虚脱。如果抢救不及时、治疗不当,死亡率很高。     

BI-2000图像分析系统在家兔失血性休克实验中的应用

家兔失血性休克实验是《医学机能学》实验中的一个重要组成部分,在日常教学过程中,传统经典实验只观察血压的变化,针对这一问题,我院引进BI-2000图像分析系统,并在2014级临床医学教改班家兔失血性休克实验中应用,使学生对于休克发生、进展的机制有了更深刻的理解,对休克各期微循环血液灌流的变化特点有了更直观的认识。     

Treatment of Congenital Pulmonic Stenosis in Two Dogs by Balloon Valvuloplasty

Balloon valvuloplasty was performed on two dogs with pulmonic valve stenosis. Immediately following balloon valvuloplasty, peak right ventricular systolic pressure declined from 92 to 44 mm Hg in the first dog and from 108 to 46 mm Hg in the second dog. The peak systolic pressure gradient across the pulmonic valve declined from 60 to 12 mm Hg in the first dog and from 84 to 22 mm Hg in the second dog. Hemodynamic improvement was sustained in both dogs at the time of recatheterization 3 months later. Both dogs tolerated the procedure well and there were no serious complications. It was concluded that balloon valvuloplasty offers an alternative to surgery for the treatment of valvular pulmonic stenosis in dogs. The exact indications for and limitations of balloon valvuloplasty must await the results of additional and more long-term studies.     

The Treatment of Acute Glaucoma in Dogs and Cats

Objective: Glaucoma is an optic nerve disease that may result in rapid loss of vision. Early detection of acute glaucoma and aggressive treatment is important to preserve vision. Continued treatment is indicated in chronic glaucoma to alleviate discomfort associated with chronic elevated intraocular pressure.
Etiology: In primary glaucoma, an abnormal iridocorneal angle results in obstruction to outflow of aqueous humor. In secondary glaucoma, an otherwise normal iridocorneal angle is obstructed by abnormalities such as a luxated lens, neovascular membranes or inflammatory material.
Diagnosis: The diagnosis is made by a combination of clinical signs such as corneal edema, mydriasis, decreased vision, episcleral hyperemia, and confirmed by measuring an elevation in intraocular pressure. Complete ophthalmic examination, knowledge of breed predisposition to various ocular diseases and gonioscopy will aid in distinguishing between primary and secondary glaucoma
Therapy: Aggressive medical management is important in acute glaucoma. Surgical procedures are often indicated after initial emergency medical treatment of acute glaucoma. Chronic, painful blind eyes are best treated with one of various surgical procedures.
Prognosis: The prognosis for maintaining vision or regaining temporarily lost vision in acute glaucoma is related to numerous factors including time between onset of clinical signs and appropriate treatment, etiology of the glaucoma, initial response to therapy and client compliance.     

小型观赏犬产后痉挛的诊断与治疗

根据临床病例治疗经验,论文对小型观赏犬产后痉挛的病因、临床症状、诊断和治疗进行了阐述,为该病在兽医临床中的诊疗提供参考依据.     

The Intraosseous Blood Supply of the Canine Radius: Implications for Healing of Distal Fractures in Small Dogs

The intraosseous vascular anatomy of the radius was studied in 12 pairs of canine cadaver limbs. Six pairs of specimens were obtained from small-breed dogs (less than 6 kg) and six pairs were obtained from large-breed dogs (18 to 30 kg). All specimens were studied after arterial injection with India ink. Samples were fixed, frozen, then sectioned and processed using a modified Spalteholz technique. In all specimens, the intraosseous blood supply arose from the nutrient artery with its associated branches and the metaphyseal arteries. In small-breed dogs, there was decreased vascular density at the distal diaphyseal-metaphyseal junction compared with large-breed dogs. The reduced vascularity corresponded to the region associated with a poor prognosis for fracture healing in small-breed dogs. This regional association suggests that a decreased vascular supply in the distal radius may contribute to a higher frequency of delayed union and nonunion in smaller dogs.     

种鹅出血性肠炎的诊断与防治

2002年3月至2004年3月期间,广东一些地区的种鹅陆续发生一种以拉黄色和血色稀粪,剖检肠道粘膜似糠麸样溃疡为主要特征的传染病,发病率5%～60%,死亡率达10%～50%。根据流行病学分析、临床症状、剖检病变和实验室检验结果,确诊为由致病性大肠埃希氏杆菌引起的出血性肠炎。1流行病     

Asparaginase and MOPP Treatment of Dogs with Lymphoma

Background: Dogs with multicentric lymphoma are treated with various cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP)-based chemotherapy protocols with variable success.
Objectives: To describe the progression-free survival (PFS) time and overall survival time (OST) of dogs with T-cell lymphoma or hypercalcemic lymphoma treated with l -asparaginase and mechlorethamine, vincristine, prednisone, procarbazine (MOPP).
Animals: Fifty dogs with T-cell lymphoma, hypercalcemic lymphoma, or both treated at 3 referral veterinary hospitals.
Methods: Retrospective study. Case were selected based on histologic or cytologic diagnosis of lymphoma; presence of the T-cell phenotype, presence of hypercalcemia or both; and absence of previous chemotherapy. The T-cell phenotype was determined by flow cytometry, immunocytochemistry, immunohistochemistry, or polymerase chain reaction of antigen receptor rearrangement.
Results: The overall response rate was 98% (78% complete response, 20% partial response). The median PFS for the entire study population was 189 days with 25% PFS at 939 days. The median OST for the entire study population was 270 days with 25% surviving 939 days. Twenty percent of the dogs required hospitalization for treatment related complications.
Conclusions and clinical importance: l -Asp/MOPP chemotherapy might result in longer PFS and OST for dogs with multicentric T-cell lymphoma, dogs with hypercalcemic lymphoma or both, than achieved with CHOP.     

Treatment of Blastomycosis With Itraconazole in 112 Dogs

One hundred twelve client-owned dogs with blastomycosis were treated with itraconazole, 5 or 10 mg/kg/d. The first group of 70 dogs treated in 1987 and 1988 received 10 mg/kg/d (group 1), and the second group of 42 dogs treated after October 1988 received 5 mg/kg/d (group 2). Even though the groups were treated at different times, the dogs were similar in age and gender distribution, number of sites involved, and percent and severity of pulmonary involvement. The proportion of dogs cured with a 60–day course of itraconazole was similar for both groups (53.6% versus 54.3%) and for a second historical control group treated with amphotericin B (57%); the recurrence rate was also similar, 20%, 21.4%, and 20%, respectively. Dogs treated with itraconazole had similar mortality rates (25.7% at 5 mg/kg/d; 25% at 10 mg/kg/day) to those treated with amphotericin B (23%). Seventeen of the 23 dogs that died (74%), did so during the first week of treatment; these early deaths were usually attributed to respiratory failure. The only site of infection that was significantly associated with failure (death or recurrence) was the brain. There was a marked difference in survival times between dogs without lung disease or with mild lung disease compared with dogs with moderate or severe lung disease. Serum itraconazole concentrations reached steady state by 14 days of treatment. Dogs receiving 5 mg/kg/d of itraconazole (group 2) had mean serum concentrations of 3.55 ± 2.81 mg/mL (range, 0.67 to 10.8 μg/mL), whereas dogs receiving 10 μg/kg/d (group 1) had mean concentrations of 13.46 ± 8.49 μg/mL (range, 1.8 to 28 μg/mL) (P ≤ .001). There was no association between cure and serum itraconazole concentrations. Dogs in group 1 had significantly more adverse effects than dogs in group 2 (P= .046). Anorexia was the most common adverse effect, occurring in 14.9% of dogs in group 1. Only 8% of dogs in group 2 had adverse effects. Serum concentrations of itraconazole were positively correlated with serum alkaline phosphatase and alanine aminotransferase activities. Our findings indicate that itraconazole administered at a dose of 5 mg/kg/d is the drug of choice for blastomycosis in dogs.     

846麻醉合剂对失血性休克家兔的影响

经股A放血使成年比利时家兔血压降至5.33k Pa(40mmHg)左右,造成失血性休克并持续90min,然后与放出的血液全部回输的同时,肌注846麻醉合剂0.2mL/kg。结果表明,该合剂不降低休克兔的存活率,并能显著延长将要死亡兔的存活时间,抑制其血压的恢复和维持,使心率减慢,中心静脉压升高,排尿量增加,机体乳酸的产生减少,血乳酸浓度降低,而对其呼吸功能影响轻微。     

猪和犬附红细胞体病的诊治

采用多种病原学检查方法,结合临床症状和病理剖检,对合肥地区378头猪和263只犬进行附红细胞体病的诊断.结果发现,附红细胞体感染阳性率猪为93.9%,犬89.7%,并用几种药物进行了治疗试验.