期刊论文详细信息
The Journal of Veterinary Medical Science
Assesment of severity and changes in C-reactive protein concentration and various biomarkers in dogs with pancreatitis
Koichi OHNO1  Hajime TSUJIMOTO1  Hideyuki KANEMOTO1  Kenjiro FUKUSHIMA1  Yuko GOTO-KOSHINO1  Masashi TAKAHASHI1  Toru SATO1  Takashi TAMAMOTO1  Mariko OISHI1 
[1] Department of Veterinary Internal Medicine, Graduate School of Agricultural and Life Sciences, The University of Tokyo, 1-1-1 Yayoi, Bunkyo-ku, Tokyo 113-8657, Japan
关键词: canine;    CRP;    pancreatitis;    Spec cPL;   
DOI  :  10.1292/jvms.16-0009
学科分类:兽医学
来源: Japanese Society of Veterinary Science
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【 摘 要 】

Canine pancreatitis is a relatively common disorder, and its mortality rate remains high. However, prognostic factors for pancreatitis based on evidence are limited. Moreover, the relationship between changes in C-reactive protein (CRP) concentration—an important prognostic factor for human patients with acute pancreatitis—and the prognosis of dogs with pancreatitis has not been widely studied. Therefore, we examined prognostic factors for canine pancreatitis during the first medical examination and evaluated the usefulness of serial CRP measurements during hospitalization. Sixty-five dogs met the inclusion criteria, including 22 that were hospitalized and treated. In Study 1, a multivariate analysis revealed that three factors— decreased platelet count and a marked (greater than 1,000 µg/l) elevation of specific canine pancreatic lipase (Spec cPL) concentration at the first medical examination, as well as elevated blood urea nitrogen (BUN) and/or creatinine (CRE) level—were significantly different between the survivors and nonsurvivors. Moreover, CRP concentrations on the third and fourth days were significantly different between the two groups in Study 2. An evaluation of the decreased platelet count, remarkable elevation of Spec cPL concentration at the first medical examination, elevation of BUN and/or CRE as well as serial CRP concentration measurements may be useful for predicting the prognosis of canine pancreatitis.

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