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研究生:陳明遠
研究生(外文):Chen, Ming Yan
論文名稱:犬心絲蟲感染臨床診斷與治療
論文名稱(外文):Clinical Diagnosis and Treatment of canine heartworm infestation
指導教授:茅繼良
指導教授(外文):Mao
學位類別:碩士
校院名稱:國立中興大學
系所名稱:獸醫學系
學門:獸醫學門
學類:獸醫學類
論文種類:學術論文
論文出版年:1997
畢業學年度:85
語文別:中文
論文頁數:125
中文關鍵詞:心絲蟲
外文關鍵詞:CanineHeartwormClinical diagnosis
相關次數:
  • 被引用被引用:3
  • 點閱點閱:347
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中 文 摘 要本研究工作係自1995年10月1日至1997年3月31日期間,將
中興大學獸醫教學醫院門診之犬心絲蟲感染病例,按照建立之診斷模式,
接受物理學檢查,臨床實驗室診斷,胸腔放射線學檢查,心臟超音波學檢
查及心電圖檢查,並依照診斷之結果,將病情分成四個等級。第一級為輕
度感染,第二級為中度感染,第三級為重度感染,第四級為腔靜脈症候群
。同時將病畜接受依不同等級病情所建立之治療模式,分別給予對症治療
,驅蟲計劃及外科手術作為治療。共有71個病例接受臨床診斷與檢查,其
中有47個病例接受治療,包括對症治療,驅蟲治療及外科手術。而24個未
接受治療病例,包括有轉診到地區性醫院,伴隨其他疾病發生或未再回院
複診等情況。在結果方面,47個臨床病例中,有30個病例接受治療成功;
而在17個治療失敗的病例,均為第三級及第四級之嚴重感染病例。分析其
原因發現,在重度感染之病畜,大多伴隨心肺功能衰竭之疾病,因此,在
治療上均無法順利完成;另外,在腔靜脈症候群之病畜,早期發現接受治
療之成功率較高,而受到診斷延誤,導致心肺功能及肝腎衰竭之病畜則死
亡率高。

SummaryThe research based on the established clinical diagnosis
model, the clinical cases of NCHU veterinary teaching hospital
during Oct. 1st, 1995 to Mar. 31st, 1997, the physical
examination, the clinical laboratory examination, the thoracic
radiography examination, the echocardiographic examination and
the electrocardiographic examination were taken. According to
the result of diagnosis, divide into 4 degrees. The 1st degree
was mild infestation, the 2nd was moderate infestation the 3rd
was severe infestation he 4th was caval syndrome. The cases of
each degree were treated with symptomatic therapy, anthelmintic
program and surgical operation.There were 71 cases totally
diagnosed and examed. There were 47 cases treated, including
symptomatic therapy, anthelmintic therapy and surgical
operation. The 24 cases that were not treated including being
send to local clinic, accompanied with other diseases, and
haven't came back to the hospital. As the result, there were 30
cases treated successfully, the other 17 cases that were not
treated successfully were all of the 3rd or the 4th degree.
After analyzing the result, the animals of severe infestation,
most of them accompanied with cardiopulmonary function failure,
that couldn't complete the therapy. The animals of caval
syndrome , the probability of successful treatment was higher in
those of being treated in the early stage, and those animals the
illness were delayed died of cardiopulmonary and hepatorenal
failure .

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