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THE MOST COMMON LIVER DISEASES IN THE DOG GASTROENTEROLOGY

机译:狗胃肠学中最常见的肝病

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One of the most common laboratory abnormalities encountered in small animal practice are abnormal liver enzymes (ALT, AST, ALP and GGT). Some animals are asymptomatic and the abnormalities are detected after performing a routine health screen. For example, the dog with dental disease that has a pre-anesthesia profile with elevations in the ALT and ALP, what should the clinician do; ignore them, perform additional diagnostic tests or consider a liver biopsy? The second scenario is the sick patient with abnormal liver enzymes. By far the most common cause of abnormal liver enzymes in sick patients are reactive hepatopathies arising secondary to a primary non-hepatic disease. These changes are collectively referred to as reactive hepatopathies. Primary liver disease (chronic hepatitis, cholangiohepatitis and hepatic neoplasia for example) can result in altered liver function.
机译:小动物实践中遇到的最常见的实验室异常之一是异常的肝酶(ALT,AST,ALP和GGT)。一些动物是无症状的,并且在执行常规健康屏幕后检测到异常。例如,患有牙科疾病的狗具有在ALT和ALP中的海拔预摧,临床医生应该做些什么;忽略它们,执行额外的诊断测试或考虑肝脏活组织检查?第二种情况是肝酶异常的病人。到目前为止,生病患者中异常肝酶的最常见原因是二次非肝脏疾病所产生的反应性肝病。这些变化统称为反应性肝病。原发性肝病(例如慢性肝炎,胆管炎,胆管炎和肝脏瘤瘤)可以导致肝功能改变。

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