Equine pulmonary disease: a case control study of 300 referred cases. Part 1: Examination techniques, diagnostic criteria and diagnoses.
Equine pulmonary disease: a case control study of 300 referred cases. Part 1: Examination techniques, diagnostic criteria and diagnoses.
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马肺病：300 例转诊病例的病例对照研究。
DOI：
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发表时间：
1995
影响因子：
2.2
通讯作者：
B. McGorum
中科院分区：
文献类型：
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作者：
P. Dixon;D. Railton;B. McGorum
采用标准化病史采集和临床、胸膜内压、动脉血气和pH值、支气管镜检查、气管和支气管肺泡灌洗液（BALF）细胞学检查，评估了1990年至1993年（含）期间转诊的300匹成年马的肺部检查。235例病例因明显的肺部疾病体征转诊，其余65例病例因运动（通常是比赛）表现降低或比赛后呼吸困难延长而转诊进行肺部检查。30例无肺部疾病。270匹马中有148例慢性阻塞性肺疾病（COPD）占54.8%，（16.7%）感染性或感染后肺部疾病，动物源性链球菌肺部感染占2.6%，肺线虫感染16例（2.6%）（5.9%）原发性运动诱发肺出血（EIPH），9慢性特发性低氧血症20例（3.3%），其他肺部疾病20例（7.4%），未分化肺部疾病18例（6.7%）。观察到两例原发性夏季相关阻塞性肺疾病（SPAOPD），但9.5%的COPD感染马另外患有SPAOPD。
Three-hundred adult horses, referred from 1990 to 1993 inclusively, for pulmonary examination were assessed using standardised history taking and clinical, intrapleural pressure, arterial blood gases and pH, bronchoscopic and tracheal and broncho-alveolar lavage fluid (BALF) cytological examinations. Two-hundred and thirty-five cases were referred with overt signs of pulmonary disease and the remaining 65 cases were referred for pulmonary examination because of reduced exercise (usually racing) performance or prolonged dyspnoea after racing. No pulmonary disease was detected in 30 cases. The 270 horses with pulmonary disease included 148 cases (54.8%) of chronic obstructive pulmonary disease (COPD), 45 (16.7%) of infectious or post infectious pulmonary disease, 7 (2.6%) of Streptococcus zooepidemicus pulmonary infection, 7 (2.6%) of lungworm infection, 16 (5.9%) of primary exercise induced pulmonary haemorrhage (EIPH), 9 (3.3%) of chronic idiopathic hypoxaemia, 20 (7.4%) of miscellaneous identified pulmonary disorders and 18 (6.7%) of undifferentiated pulmonary disorders. Two cases of primary summer associated obstructive pulmonary disease (SPAOPD) were observed, but 9.5% of COPD affected horses additionally suffered from SPAOPD.