犬上行综合征的诊治方法

R. V. Biloshytskyy
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引用次数: 0

摘要

. 确定了犬脊髓损伤综合治疗方案的临床过程特点和疗效。复杂治疗的算法包括引入糖皮质激素和镇痛药物,具有明显抗氧化作用的维生素辅助剂和渗透性利尿剂。在继发性并发症或出现上升综合征的情况下,建议使用β -内酰胺类抗生素同时滴注糖皮质激素药物,以阻断患处的脊髓肌肉和椎间隙以及手术通路。这有助于减少酸代谢物和二氧化碳在受伤区域的积累和形成。对于脊髓和脊髓损伤,建议引入“甘露醇”渗透性利尿剂,以减少软组织水肿,防止过氧化脂质的形成。值得注意的是,上升性骨髓瘤的发展导致明显的神经系统缺陷,表现为神经麻痹和肢体瘫痪,肌肉张力显著降低,并且通常失去表面敏感性。根据引起骨髓瘤的病因,预期的预后往往有不利的结果。认真执行病理过程治疗的建议增加了恢复轴骨功能的可能性。主要的诊断方法在两个投影中减少到造影剂脊髓造影和数字x线检查的表现。为了清晰地显示软组织,有必要对脊髓疾病的定义和脊髓损伤程度进行MRI诊断。已经证实,MRI诊断的早期表现可以发现脊髓的器质性损伤,并使用半椎板切除术方法及时进行减压。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Methods of diagnosis and treatment of ascending syndrome in dogs
. The features of the clinical course and the effectiveness of the proposed schemes of complex therapy with spinal injuries in dogs were determined. The algorithm of complex treatment includes the introduction of glucocorticosteroid and analgesic drugs, vitamin aids with a pronounced antioxidant effect and osmotic diuretics. In cases of secondary complications or the development of ascending syndrome, it is advisable to use beta-lactam antibiotics with the following instillations of glucocorticosteroid drugs in order to block the spinal muscles and intervertebral space in the affected area and operative access. This helps to reduce the accumulation and formation of acid metabolites and carbon dioxide in the injured areas. For spinal cord and spinal cord injuries, the introduction of «Mannitol» osmolar diuretic is recommended to reduce soft tissue edema and prevent the formation of peroxide lipids. It is noted that the development of ascending myelomalacia causes a pronounced neurological deficiency with signs of paresis and limb paralysis, a significant decrease in muscle tone, and often a loss of surface sensitivity. Depending on the etiological factor that causes myelomalacia, a prognosis is anticipated that often has an unfavorable outcome. Conscientious implementation of the recommendations for the treatment of pathological process increases the probability of restoring the function of the axial skeleton. The main diagnostic methods are reduced to the performance of contrast myelography and digital x-ray examination in two projections. For a clear visualization of soft tissues it is necessary to conduct MRI diagnostics with the definition of spinal diseases and the degree of damage to the spinal cord. It has been established that the early performance of MRI diagnostics makes it possible to detect organic damage to the spinal cord and to conduct timely decompression using the hemilaminectomy method.
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