19 猫的肠道疾病 intestinal disease

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1、MedizinischeKleintierklinikLudwig-Maximilians-UniversitätMünchenIntestinalDiseasesintheCat猫的肠道疾病Dr.StefanUntererDiplomateECVIMLudwig-Maximilians-UniversitätMünchenDiseasesoftheSmallIntestine小肠疾病Øcardinalsignofdiseasesofthesmallintestine(SI)isdiarrhea小肠疾病的

2、主要症状是腹泻
significantincreasein显著增加
frequency,频率
fluidity,or流动性
volumeoffeces粪便量 ØDiarrhea腹泻
primaryintestinaldisease主要的肠道疾病
secondarytoextraintestinaldiseases继发于肠外疾病 FunctionoftheSmallIntestine小肠功能Ønutrientdigestionandabsorption营养消化和吸收Øprotectingthebo

3、dyfromamultitudeofenvironmentalthreats保护机体免受大量环境威胁
largestandmostcompleximmunologicorganinthebody体内最大和最复杂的免疫器官 FunctionalAnatomyoftheSmallIntestine小肠的功能性解剖ØDuodenum十二指肠ØJejunum空肠ØIleum回肠
lenght1,3m长度1，3米 FunctionalAnatomyoftheSmallIntestine小肠的功能性解剖ØSer

4、osa浆膜层ØMuscularis肌层ØSubmucosa黏膜下层ØMucosa黏膜层Case„Sam“ØSignalment体貌特征
DomesticShorthair家养短毛猫
9years
Malecastrated绝育公猫 Case„Sam“ØHistory病史
Intermittentdiarrheaforweeks持续数周的间歇性腹泻
Weightlossdespitegoodappetite胃口好但体重减轻
Decreasedappetitefordays,vomiting食欲下

5、降已有数日，呕吐
Varioustrialtherapieswithoutsuccess(dietchange,antibiotics)很多失败的治疗尝试（饮食改变，抗生素）ØPhysicalexamination身体检查
BARH
Abdominalpalpationpainful腹部触诊疼痛 ChronicSmallIntestinalDisease慢性小肠疾病ØWhentothinkaboutsmallintestinaldisease需要考虑小肠疾病的情况：
Weightlossdespite

6、goodappetite(excludeothercauses,e.g.Diabetesmellitus,hyperthyroidism)胃口好但是体重减轻（排除其他原因，如糖尿病，甲亢）
Hypoalbuminemia/hypocobalaminemia低蛋白血症/低钴胺素血症
Vomitus(excludemetabolic,visceral,neurologiccauses)呕吐（排除代谢性，内脏性和神经性原因）
Changesonultrasound超声影像变化 ChronicSmallIntes

7、tinalDiarrhea慢性小肠性腹泻1.Checkqualityofdiet检查食物质量Sam:→highqualitycannedfood高质量的罐头食物2.Checkforparasites检查寄生虫Sam:→fecalexamnegative(@refVet)粪检阴性→routinelydewormed常规驱虫ChronicSmallIntestinalDiarrhea慢性小肠性腹泻3.Bloodwork血检
Excludeproteinloss排除蛋白质丢失→albumin白蛋白
Exclud

8、ehyperthyroidism排除甲亢→T4
Excludemetabolicdisease排除代谢性疾病 →BUN,creatinine,liverenzymes尿素，肌酐，肝酶
Excludeactivepancreatits排除急性胰腺炎→fPLiChronicSmallIntestinalDiarrhea慢性小肠腹泻 WithproteinlossNOproteinloss有蛋白质丢失 无蛋白质丢失 C