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    2. 經典案例

      犬貓肝病知識

      作者:網站管理員發布于:2018-05-11 文字:【大】【中】【小】

       對于很多寵物醫生而言,肝臟病是一類較難診斷的疾病,很多時候可能無法給出一個明確的病名。單純借鑒人醫的診斷方法以及分類標準是不科學的,人肝臟病的發病機制以及分類標準與犬貓不盡一致。下面是我摘取的2009年世界小動物獸醫師協會(WSAVA)標準委員會對于肝臟病的分類指導標準,涵蓋了臨床上的各種肝臟疾病。希望對大家有所裨益。

      世界小動物獸醫師協會標準委員會對于犬貓肝臟疾病分類的指導標準

      1 肝臟循環障礙的形態學分型(Morphologic Classification of Circulatory Disorder of The Liver

      1.1 先天性門體分流(Congenial Portosystemic Shunts

      1.2 與門靜脈高壓相關的疾?。?/span>Disorders Associated with Portal Hypertension

        1.2.1 門靜脈梗阻(Portal vein obstruction

        1.2.2 門靜脈原發性發育不全(Primary hypoplasia of the portal veinmicrovascular dysplasia and noncirrhotic portal hypertension))

        1.2.3 肝內動靜脈瘺(Intrahepatic arteriovenous fistulas

      1.3 偶發性血管病征(Incidental Vascular Disorders

        1.3.1 紫癜樣肝?。?/span>Peliosis hepatis

      2 膽病的形態學分型(Morphologic Classification of Biliary Disorders

      2.1 孤立性膽管囊腫(Solitary Biliary Cysts

      2.2 先天性膽囊疾?。?/span>Congenital Biliary Cystic Disease

        2.2.1 膽汁淤積(Cholestasis

      3 炎癥(Inflammation

      3.1 膽管炎(Cholangitis

        3.1.1 嗜中性膽管炎(Neutrophilic cholangitis

        3.1.2 淋巴細胞性膽管炎(Lymphocytic cholangitis

        3.1.3 破壞性膽管炎(Destructive cholangitis

        3.1.4 慢性膽管炎(Chronic cholangitis

        3.1.5 與肝吸蟲相關的慢性膽管炎(Chronic cholangitis associated with liver fluke infestation

      4 膽囊損傷(Gallbladder Lesions

      4.1 膽石?。?/span>Cholelithiasis

      4.2 膽囊黏膜增生(Cystic Mucosal Hyperplasia

      4.3 膽囊粘液囊腫(Gallbladder Mucocele

      4.4 膽囊梗死(Gallbladder Infarcts

      4.5 膽囊炎(Cholecystitis

      5 犬貓肝臟實質疾病的形態學分型(Morphologic Classification of Parenchymal Disorders of The Canine and Feline Liver

      5.1 實質疾病概述(Introduction to Parenchymal Diseases

      5.2 可逆性損傷(Reversible Injury

        5.2.1 肝細胞腫脹(Hepatocellular swelling

        5.2.2 空泡變化(Vacuolar change

        5.2.3 類固醇誘導性肝?。?/span>Steroid-induced hepatopathy

        5.2.4 肝細胞脂肪變性(脂肪沉積和脂肪變化)(Hepatocellar steatosislipidosis and fatty change))

      5.3 淀粉樣變(Amyloidosis

      6 肝細胞死亡(Hepatocyte Death

      6.1 肝臟對于肝細胞損傷的反應(Response of the Liver to Hepatocellular Injury

      6.2 急性肝炎(Acute Hepatitis

      7 急性肝細胞壞死和炎癥的特異感染性病因(Specific Infectious Causes of Acute Hepatocellular Necrosis and Inflammation

      7.1 病毒性疾病(Viral Diseases)

        7.1.1 皰疹病毒(Herpes virus

        7.1.2 腺病毒(Adenovirus

        7.1.3 冠狀病毒(Corona virus

      7.2 細菌性疾?。?/span>Bacterial Diseases

      7.3 原蟲?。?/span>Protozoal Disease

        7.3.1 中毒性肝損傷(Toxic liver injury

        7.3.2 慢性肝炎(Chronic hepatitis

        7.3.3 銅相關性慢性肝炎(Copper-associated chronic hepatitis

      8 肝硬化(Cirrhosis

      8.1 小葉解離性肝炎(Lobular Dissecting Hepatitis

      8.2 非特異反應性肝炎(Nonspecific Reactive Hepatitis

      8.3 嗜酸性肝炎(Eosinophilic Hepatitis

      8.4 肝臟膿腫和肉芽腫(Hepatic Abscesses and Granulomas

      8.5 肝臟蓄積性疾?。?/span>Hepatic Storage Disorders

      9 肝臟腫瘤和增生(Hepatic Neoplasia and Hyperplasia)

      9.1 結節性增生(Nodular Hyperplasia

      9.2 再生性結節(Regenerative Nodules

      9.3 肝細胞腺瘤(Hepatocellular Adenoma

      9.4 肝細胞癌(Hepatocellular Carcinoma

      9.5 膽管細胞腺瘤(膽管腺瘤)(Cholangiocellular AdenomaBiliary Adenoma))

      9.6 膽管細胞癌(膽管癌)Cholangiocellular Carcinoma (Biliary Carcinoma)

      9.7混合性肝細胞和膽管細胞癌(Mixed Hepatocellar and Cholangiocellular Carcinomas

        9.7.1 類癌(Carcinoids

        9.7.2 肝臟混合性原發性間質腫瘤(Miscellaneous primary mesenchymal neoplasms of the liver

        9.7.3 轉移性腫瘤(Metastatic neoplasms

      本文宜賓寵健寵物診所轉載于:http://blog.sina.com.cn/s/blog_64dae02801010atg.html
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