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1、重新认识犬胰腺炎History病史•Signalment临床表现•Diet•Vomiting饮食情况呕吐•Historyofpancreatitis胰腺炎病史•Diarrhea腹泻History病史•Signalment临床表现•Diet•Vomiting饮食情况呕吐•Historyofpancreatitis胰腺炎病史•Diarrhea腹泻History病史•Signalment临床表现•Diet•Vomiting饮食情况呕吐•Historyofpancreatitis胰腺炎病史•Diarrhea腹泻KnowingtheLIMITATIONSofatestorprocedureiso
2、ftenmuchmoreimportantthanknowingwhataprocedurecando了解某项检查或操作的局限性比了解某项操作的作用更为重要PhysicalExamination体格检查•Anteriorabdominalpain前腹部疼痛•Icterus•Profuseascites黄疸大量腹水••FeverSQabscesses发热皮下脓肿PhysicalExamination体格检查•Anteriorabdominalpain前腹部疼痛•Icterus•Profuseascites黄疸大量腹水••FeverSQabscesses发热皮下脓肿PhysicalExam
3、ination体格检查•Anteriorabdominalpain前腹部疼痛•Icterus•Profuseascites黄疸大量腹水••FeverSQabscesses发热皮下脓肿WHICHCBC(S)IS/AREFROMDOG(S)WITHACUTEPANCREATITIS?哪份血常规结果是来自急性胰腺炎患犬的？14703314719890524159796PCVWBCSegsBands28.530,00026,10090028.845,50033,6702,730309,8004,6062,4504011,5009,8900Plat87,000407,000679,000470,
4、000Toxicmodmodnonenone14703314719890524159796PCVWBCSegsBands28.530,00026,10090028.845,50033,6702,730309,8004,6062,4504011,5009,8900Plat87,000407,000679,000470,000ToxicmodmodnonenoneClinicalPathology临床病理学•Ananorexic,vomitingdogwithfastinghyperlipidemiaprobablyhasacutepancreatitis患犬厌食、呕吐，突然出现高脂血症可
5、能患有急性胰腺炎ClinicalPathology临床病理学•Ananorexic,vomitingdogwithfastinghyperlipidemiaprobablyhasacutepancreatitis患犬厌食、呕吐，突然出现高脂血症可能患有急性胰腺炎•MostdogswithpancreatitisDONOThavefastinghyperlipidemia大部分胰腺炎患犬并未突然出现高脂血症ClinicalPathology临床病理学•Amylase/Lipase–Sensitivity~50%–Specificity~50%淀粉酶/脂肪酶敏感性-50%特异性-50%•T
6、LI血清胰蛋白酶样免疫反应–Sensitivity~35%特异性-35%ClinicalPathology临床病理学•Amylase/Lipase–Sensitivity~50%–Specificity~50%淀粉酶/脂肪酶敏感性-50%特异性-50%•TLI血清胰蛋白酶样免疫反应–Sensitivity~35%特异性-35%ClinicalPathology临床病理学•cPLI–Sensitivity~80-85%敏感性~80-85%TAMU#203505Sig:14yrM(n)ShihTzu14岁雄性已去势西施犬CC:Abdominalpain前腹部疼痛HPI:Pain2daysa
7、goandyesterday两天前和昨天疼痛Vomited1timePU-PDforlastweek呕吐一次上周多饮多尿PE:Normalappetite/bodyweight食欲/体重正常Noabnormalitiestoday今日无异常TAMU#203505PCV=WBC=Segs=Bands=Lymphs=24%(35-55)23,300/ul(6,-14,000)17,475/ul(4,-12,000)0/ul(<500)4,660/u
