Data/hora: 06/06/2024 04:13:21

Provedor de dados: | 19
País: | Japan

Título:

乳牛の血様液貯留を特徴とする特発性心嚢水腫症例と心膜炎症例の臨床病理学的検査所見の比較

Comparison of Clinicopathological Findings of Idiopathic Hydropericardium Characterized by BloodhLike Fluid and Pericarditis in Dairy Cattle

Autores: | 猪熊, 壽; 滄木, 孝弘; 山川, 和宏; 竹内, 俊彦; 松本, 高太郎; 石井, 三都夫; 古林, 与志安; 古岡, 秀文; INOKUMA, Hisashi; AOKI, Takahiro; YAMAKAWA, Kazuhiro; TAKEUCHI, Toshihiko; MATSUMOTO, Kotaro; ISHII, Mitsuo; KOBAYASHI, Yoshiyasu; FURUOKA, Hidefumi.
Data: | 2012
Ano: | 2012
Palavras-chave: | 特発性心餒水腫; 心膜炎; 血様心嚢水; 牛; Idiopathic hydropericardium; Pericarditis; Blood-like pericardium; Cow.
Resumo: | 病理学的に血様液貯留を特徴とする特発性心嚢水腫と診断された乳牛8症例（血様心嚢水貯留群）の臨床病理学的検査所見を回顧的に取りまとめ，心膜炎7症例（心膜炎群）の所見と比較した．血様心嚢水貯留群では冷性浮腫を呈する症例が心膜炎群に比べて多かったが，その他の臨床症状には両群で差がなかった．心エコー検査では血様心嚢水貯留群では，心膜炎でみられる心嚢内の顕著なフィブリン析出はなかった．血液及び生化学検査では，血様心嚢水貯留群では炎症像が弱く，心膜炎群と比較して白血球数，分葉核好中球割合，A/G比，アルブミン濃度，γグロブリン割合に有意差がみられた．両群でALP及びGGTの高値がみられたが，特に血様心嚢水貯留群のGGT増加は顕著であった．血様心嚢水貯留症例の診断は臨床症状だけでは困難であるが，心エコー検査所見，弱い炎症像，ALP及びGGTの高値などが心膜炎との鑑別診断に有用と考えられた． Clinicopathological findings of eight cases of idiopathic hydropericardium characterized by bloodhlike fluid (HBFhgroup) that were confirmed by necropsy were retrospectively summarized and compared with those of seven cows with pericarditis. Although the numbers of cows that showed edema in the HBFhgroup were larger than those in the pericarditishgroup, the frequency of other clinical signs in the two groups was similar. Echocardiography revealed a reduced quantity of fibrin in the pericardial cavity in the HBFhgroup compared with the pericarditishgroup. In blood and blood chemical examinations, cows in the HBFhgroup showed significantly weak inflammation findings in terms of the numbers of white blood cells and neutrophils, albuminh globulin ratio, albumin concentration, and gammahglobulin ratio compared with those in pericarditishgroup cows. Increased alkaline phosphatase (ALP) and gammahglutamyl transpeptidase (GGT) activity were recorded in both groups; however, GGT in the HBFhgroup was significantly higher than that in the pericarditish group. Although diagnosis of bloodhlike pericardial fluid is difficult with clinical signs alone, findings such as reduced fibrin in the pericardial cavity, weaker inflammation findings in the blood and blood chemical examination, and increased ALP and GGT activity would be helpful for a differential diagnosis with pericarditis.
Idioma: | Japonês
Identificador: | http://ir.obihiro.ac.jp/dspace/handle/10322/3557
Editor: | 日本獣医師会
Formato: | application/pdf
Fonte: | 日本獣医師会