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首页> 外文期刊>Tierarztliche Praxis, Ausgabe K. Kleintiere >Diagnostic and therapy of gastric bezoars in the rabbit: retrospective evaluation of 39 patients.
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Diagnostic and therapy of gastric bezoars in the rabbit: retrospective evaluation of 39 patients.

机译：兔胃牛黄的诊断和治疗：39例患者的回顾性评估。

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摘要

The purpose of the present study was to evaluate the conservative and surgical treatments of gastric bezoars in rabbits and to provide a guideline for decision making. Clinical records of 39 rabbits that were treated for gastric bezoar in the last 9.5 years were evaluated. The history, clinical findings and results of laboratory tests (n=12), sonographic examination (n=7) and radiographic examination using lateral and ventrodorsal views (n=39) were evaluated. Negative contrast (air) was used for radiographic enhancement in one rabbit and positive contrast (barium sulfate) in 34 animals. Follow-up examinations were conducted after either conservative (n=10) or surgical treatment (n=29). Out of the 18 rabbits that died, 12 were necropsied. Postmortem examination revealed that anorexia and apathy were the predominant clinical signs. Contrast-enhanced radiography was needed to confirm the diagnosis in 35 rabbits. Sonography was useful in diagnosing the bezoar in only two of seven rabbits. Three of the 10 rabbits conservatively treated were considered cured and discharged after six days of hospitalization, while the other seven died. 15 of the 29 surgically treated rabbits were re-examined on the average of two months after discharge. The owners of six rabbits were contacted by telephone after ~3 years. 11 rabbits that weretreated surgically died during hospitalization, and bacterial translocation and hepatolipidosis were the major aetiologic agents. It is concluded that radiography, particularly contrast-enhanced radiography, is required to confirm a tentative diagnosis of gastric bezoar. Rabbits treated conservatively should be radiographed again 72 h after the start of therapy to determine whether the bezoar has disintegrated. When conservative treatment fails, then surgical removal of the bezoar is necessary.
机译：本研究的目的是评估兔胃牛黄的保守治疗和外科治疗，并为决策提供指导。评价了过去9.5年中治疗胃牛黄的39只兔子的临床记录。评估了病史，临床发现和实验室检查的结果（n = 12），超声检查（n = 7）和使用侧面和腹腔镜检查的影像学检查（n = 39）。负对比度（空气）用于一只兔子的影像学增强，正对比度（硫酸钡）用于34只动物。在保守治疗（n = 10）或手术治疗（n = 29）之后进行随访检查。在死亡的18只兔子中，有12只被尸检。验尸显示，厌食和冷漠是主要的临床体征。需要造影造影以确诊35只兔子。超声检查对诊断七只兔子中的两只兔子的牛黄很有用。住院六天后，经保守治疗的10只兔子中有3只被视为治愈并出院，其余7只则死亡。出院后平均两个月，对29只经手术治疗的兔子中的15只进行了重新检查。约3年后通过电话联系了六只兔子的主人。 11例经手术治疗的兔子在住院期间死亡，细菌易位和肝脂异常是主要的病因。结论是，需要射线照相，特别是造影增强射线照相，以证实对胃牛黄的初步诊断。开始治疗后72小时，应再次对保守治疗的兔子进行X光摄影，以确定牛黄是否已崩解。如果保守治疗失败，则需要手术切除牛黄。

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