2种组胺受体拮抗剂对低温诱发的肉鸡肺动脉高压的影响

为探讨组胺H1受体拮抗剂扑尔敏和H2受体拮抗剂西咪替丁对低温诱发的肉鸡肺动脉高压的影响,并由此推测组胺在低温诱发的肉鸡肺动脉高压形成过程中的作用。140只17日龄AA肉鸡随机分为4组。(1)常温组:40只在常温条件下饲养(22～23℃),每日注射生理盐水2次;(2)低温组:40只在低温环境中饲养(9～11℃),每日注射生理盐水2次;(3)扑尔敏组:40只在低温环境中饲养(9～11℃),每日注射扑尔敏2次;(4)西咪替丁组:20只在低温环境中饲养(9～11℃),于24日龄至38日龄期间每日注射西咪替丁2次。分别于低温处理后1周(24日龄)、2周(31日龄)、3周(38日龄)、4周(45日龄)从常温组,低温组,扑尔敏组中各随机抽取10只,西咪替丁组在低温处理后2周(31日龄)、3周(38日龄)各随机抽取10只,称取体重,然后利用右心导管法测定肺动脉压(PAP),并测定红细胞压积(PCV),腹水心脏指数(AHI)。结果发现:(1)24日龄、31日龄、38日龄时,低温组肺动脉收缩压,舒张压显著高于(P<0105)或极显著高于(P<0101)同日龄常温组。24日龄时扑尔敏组肺动脉收缩压显著低于(P<0105)同日龄低温组。38日龄时西咪替丁组肺动脉收缩压,舒张压极显著低于(P<0101)同日龄低温组。(2)24日龄、31日龄、38日龄、45日龄时,低温组PCV极显著高于(P<0101)同日龄常温组。24日龄时扑尔敏组     

Diagnostic Approaches for the Assessment of Equine Chronic Pulmonary Disorders

Even though the respiratory system is one of the most accessible organs for diagnostic testing, it is not always easy to define chronic lower airway disease in the horse. Diagnostic procedures performed by first opinion veterinarians in the field are often restricted to taking the history and performing clinical examination. Respiratory tract endoscopy, tracheal or bronchoalveolar lavage, and blood sampling are sometimes used but other specific ancillary examinations are seldom performed in stable settings. Therefore, our objectives were to evaluate the diagnostic value of different techniques and examination types routinely used in the diagnostic workup of chronic equine lower airway cases in both stable and clinical circumstances. Another aim of this study was to estimate the prevalence of different chronic pulmonary disorders among horses admitted to a Hungarian referral clinic. According to the conditional inference tree method, age of the horse, history, clinical examination, respiratory tract endoscopy, and bronchoalveolar lavage cytology proved to be the most valuable tools to define pathology. It was also concluded that in 22% of cases, more specific ancillary diagnostic modalities, unavailable for the field veterinarian, were needed to establish the final diagnosis. According to our study, the most frequently diagnosed chronic pulmonary disorders in Hungary are of noninfectious origin, principally recurrent airway obstruction. Regardless of the cause, and interestingly including recurrent airway obstruction as well, these diseases occur primarily during the warm months.     

Frequency and severity of tracheal wash hemosiderosis and association with underlying disease in 96 cats: 2002-2003

BACKGROUND: Hemosiderophages may be found in feline tracheal wash specimens in association with various disease conditions, including heart failure, trauma, infection, foreign body migration, lung lobe torsion, pulmonary embolism or infarction, neoplasia, and bleeding diathesis. Based on observations in our laboratory, we hypothesized that tracheal wash specimens from cats with asthma also frequently contain hemosiderophages, even in the absence of other known causes of pulmonary hemorrhage. OBJECTIVES: The purpose of this study was to determine the frequency and severity of hemosiderosis in tracheal wash fluid from cats with various diseases, including asthma. METHODS: Feline tracheal wash fluid specimens submitted for cytologic evaluation between March 2002 and August 2003 were included in the study. One hundred and one specimens from 96 cats were examined with both Wright's-Giemsa and Prussian blue stains. Cats were assigned to 6 disease categories: feline asthma, pneumonia, pulmonary neoplasia, rhinitis, heart disease, and other disorders. Based on the percentage of Prussian blue-positive macrophages, hemosiderosis was categorized as negative (0%), mild (<20%), moderate (21-50%), or marked (>50%). RESULTS: The frequency of tracheal wash hemosiderosis in the study population was 63.5% (61/96); hemosiderosis was mild (29/96, 30.2%), moderate (22/96, 22.9%), or marked (10/96, 10.4%). Hemosiderosis was found in 85.7% (6/7) of cats with rhinitis, 78.6% (11/14) of cats with pulmonary neoplasia, 75.0% (27/36) of cats with asthma, 71.4% (5/7) of cats with primary or concurrent heart disease, 25.0% (5/20) of cats with pneumonia, and 66.7% (12/18) of cats with other disorders. In cats with asthma, hemosiderosis was usually mild to moderate and frequently was accompanied by increased eosinophils. CONCLUSIONS: The results of this study confirm that hemosiderosis is a common finding in tracheal wash specimens collected from cats with diverse disease conditions, including feline asthma syndrome.     

人和哺乳动物支气管动脉与肺动脉吻合现象研究进展

对人和哺乳动物支气管动脉与肺动脉吻合问题的研究进行了概述.肺动脉与支气管动脉吻合的意义在于支气管动脉的高氧血液可以进入肺动脉代偿供应肺泡组织,肺动脉的营养血液也可以进入支气管动脉代偿供应肺间质.肺动脉与支气管动脉之间血管吻合常可以发生在胸膜面、支气管壁、终末细支气管或呼吸性细支气管等部位,也可以在毛细血管上发生支气管动脉与肺动脉的吻合.根据血管吻合的长度和口径,将其分为长吻合型和短吻合型,按照血管吻合的方式分为端-端吻合和端-侧吻合.在某些病理情况下,肺动脉与支气管动脉之间的吻合支还会通过管径扩张,增加血流量来供应局部的病变组织,因此有利于防御不利因素对机体造成的损伤,为机体实施正常的呼吸功能提供保障.     

Plethysmographic comparison of breathing pattern in heaves (recurrent airway obstruction) versus experimental bronchoconstriction or hyperpnea in horses

BACKGROUND: Horses with recurrent airway obstruction (heaves) are described as exhibiting "increased abdominal effort," but it is unknown whether this translates to an effective contribution to ventilation. HYPOTHESIS: We hypothesized that heaves is characterized by asynchrony between rib cage and abdominal motions, and that the abdominal component is the major contributor to ventilation. ANIMALS: The rib cage versus abdominal motion in naturally occurring heaves (n = 15) was compared to controls at rest (n = 7) and during hyperpnea because of lobeline treatment, and the effects of histamine-induced bronchoconstriction in controls (n = 10). METHODS: Flow patterns, phase angle (theta) between the rib and abdominal compartments, abdominal (Vabd) contribution to tidal volume (VT), and lung mechanics were measured. RESULTS: Findings unique to the heaves group included the loss of biphasic expiratory flow, severely increased theta with the abdomen consistently lagging behind the rib cage, and a reduced contribution of the abdomen to ventilation. A subgroup of heaves (n = 5) with abdominal paradox showed a significant (P < .05) reduction in tidal volume, and increased respiratory rate. Bronchodilation reduced theta in heaves (P = .06), but theta remained significantly higher after bronchodilation than found in controls. CONCLUSIONS AND CLINICAL IMPORTANCE: We conclude that breathing pattern in horses with heaves is characterized by severe rib cage/abdominal asynchrony, with the rib cage motion in synchrony with flow, therefore dominating ventilation. In a subset of heaves, the abdominal compartment (diaphragm, abdominal muscles) was completely out of synchrony with flow ("abdominal paradox") despite the clinical appearance of "increased abdominal effort."     

缺氧与肉鸡肺动脉平滑肌细胞c-fos和 c-myc基因表达的关系

利用细胞培养、原位杂交、免疫组化、图像分析等技术研究缺氧与肉鸡肺动脉平滑肌细胞癌基因c-fos和c-myc表达的关系,进一步阐明缺氧与以肺动脉增殖重塑为特征的肉鸡腹水综合征的关系。结果显示,缺氧显著引起肺动脉平滑肌细胞内癌基因c-fos和c-mycmRNA的表达(c-fosmRNA:常氧组为144.6±20.2,缺氧组为198.1±32.8,P<0.01;c-mycmRNA:常氧组为125.4±18.8,缺氧组为167.1±22.4,P<0.01)。缺氧显著引起肺动脉平滑肌细胞内癌基因c-fos和c-myc蛋白的表达(c-fos蛋白:常氧组为150.9±33.2,缺氧组为225.9±37.0,P<0.01;c-myc蛋白:常氧组为162.1±28.5,缺氧组为228.8±33.4,P<0.01)。结果表明缺氧能够明显诱发肉鸡肺动脉平滑肌细胞内癌基因c-fos、c-myc的转录和表达,是启动肺动脉平滑肌细胞增殖的重要原因。本研究阐明缺氧是以肺动脉重塑为特征的肉鸡腹水综合征的主要诱因。     

PULMONARY MINERALIZATION IN FOUR DOGS WITH CUSHING'S SYNDROME

The clinical and imaging features of four dogs with Cushing's syndrome and pulmonary mineralization are reviewed. Three dogs presented with a primary complaint of respiratory distress/dyspnea. Three dogs had pituitary dependent Cushing's syndrome, while the remaining one dog had iatrogenic Cushing's syndrome. Each dog had clinical features typical for Cushing's syndrome. Two of the dogs were euthanized due to progressive hypoxemia. In each dog, the serum calcium, phosphorous, blood urea nitrogen and creatinine were normal.
A generalized increase in unstructured interstitial pulmonary opacity with diffuse mineralization was noted on thoracic radiographs of all dogs. In one dog, an ill-defined nodular interstitial pattern of mineralization was present. Delayed bone phase scintigraphy using ^99mTechnetium methylene diphosphonate documented generalized pulmonary uptake in two dogs. ^99mTechnetium labeled microaggregated albumin lung perfusion scans were normal in these two dogs. ^99mTc-MDP scintigraphy can provide useful information in diagnosing pulmonary mineralization in Cushingoid dogs.     

ACVIM consensus statement guidelines for the diagnosis,classification, treatment,and monitoring of pulmonary hypertension in dogs

Pulmonary hypertension (PH), defined by increased pressure within the pulmonary vasculature, is a hemodynamic and pathophysiologic state present in a wide variety of cardiovascular, respiratory, and systemic diseases. The purpose of this consensus statement is to provide a multidisciplinary approach to guidelines for the diagnosis, classification, treatment, and monitoring of PH in dogs. Comprehensive evaluation including consideration of signalment, clinical signs, echocardiographic parameters, and results of other diagnostic tests supports the diagnosis of PH and allows identification of associated underlying conditions. Dogs with PH can be classified into the following 6 groups: group 1, pulmonary arterial hypertension; group 2, left heart disease; group 3, respiratory disease/hypoxia; group 4, pulmonary emboli/pulmonary thrombi/pulmonary thromboemboli; group 5, parasitic disease (Dirofilaria and Angiostrongylus); and group 6, disorders that are multifactorial or with unclear mechanisms. The approach to treatment of PH focuses on strategies to decrease the risk of progression, complications, or both, recommendations to target underlying diseases or factors contributing to PH, and PH-specific treatments. Dogs with PH should be monitored for improvement, static condition, or progression, and any identified underlying disorder should be addressed and monitored simultaneously.     

IMAGING DIAGNOSIS—MULTIMODALITY FINDINGS IN AN ADULT DOG WITH PRIMARY SARCOMA OF THE PULMONARY ARTERY AND MYOCARDIAL METASTASES

Intravascular pulmonary artery sarcomas in combination with myocardial metastasis are rare in dogs. We describe the radiographic, echocardiographic, and electrocardiographic‐gated (ECG‐gated) computed tomographic angiography (CTA) findings in a dog with pulmonary artery sarcoma. All imaging studies demonstrated severe main pulmonary artery enlargement. Echocardiography and ECG‐gated CTA revealed a mass occluding the lumen of the right pulmonary artery. In addition, CTA revealed focal left ventricular myocardial contrast enhancement and parenchymal lung changes. Postmortem examination confirmed the presence of a large thrombus associated with arteriosclerosis and an intravascular sarcoma in the right pulmonary artery with metastases to the myocardium, lungs and brain.     

绵羊肺腺瘤病毒致瘤机制研究进展

绵羊肺腺瘤(OPA)是由绵羊肺腺瘤病毒(OPAV)引起的一种慢性、传染性绵羊肺脏肿瘤性疾病,该病对养羊业,特别是种羊的发展有重大影响,世界动物卫生组织将其列为必须通报的动物疫病。论文就近年来国内外关于OPAV致瘤机制的相关研究进行了综述,包括OPAV的转录特异性和囊膜蛋白的致瘤作用和OPAV受体等。这对深入研究OPAV的致瘤机制及确定相应的防控靶点,具有重要的理论意义和潜在的应用价值。