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Froggy Jumps
Froggy Jumps

犬猫蛋白尿测验

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犬猫蛋白尿测验

Froggy Jumps

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随着越来越多的证据表明蛋白尿是患有慢性肾病的犬和猫的不良预后指标，无论严重程度如何，临床医生都必须重视持续性蛋白尿。

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Rose
Rose
Hungary

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犬猫蛋白尿测验
 

Froggy Jumps

犬猫蛋白尿测验Online version

随着越来越多的证据表明蛋白尿是患有慢性肾病的犬和猫的不良预后指标，无论严重程度如何，临床医生都必须重视持续性蛋白尿。

by Rose
1

蛋白尿不会导致

2

一只 11 岁雄性已去势苏格兰梗犬因排尿困难就诊。尿培养结果为阴性，但尿检显示 2+ 蛋白尿，尿比重 (USG) 为 1.018。全血细胞计数和血清生化结果正常。腹部超声检查显示膀胱三角区有一个大肿块。怀疑是移行细胞癌。这是哪种类型的蛋白尿，需要测量尿蛋白肌酐比 (UPCR) 吗？

3

哪种类型的蛋白尿最有可能导致 UPCR 大于 2 并导致低白蛋白血症？

4

一只 6 岁雌性已绝育杜宾犬接受常规健康检查。最小数据库检查发现 3+ 蛋白尿（USG 1.02）和尿沉渣无活性。全血细胞计数和血清生化结果正常。记录显示，在过去一年内的 2 次常规检查中都有 2+ 蛋白尿。主人说犬状况良好。你的建议是什么？

5

在氮质血症动物中开始使用血管紧张素转换酶抑制剂 (ACEI) 时，应考虑以下哪项？

6

对于患有慢性肾病且 UPCR 为 0.5 的猫，应采取什么干预措施？

7

接受 ACEI 和/或血管紧张素受体阻滞剂治疗的犬和猫应密切监测哪种电解质？

8

患有持续严重高血压（215 毫米汞柱）和蛋白尿的犬应开始哪种降压治疗？

9

在对患有持续性蛋白尿的拳师犬进行 UPCR 检查之前，通过膀胱穿刺收集的尿液样本在尿液试纸测试中显示 2+ 血液。尿沉渣确认有红细胞。没有感染迹象，犬 2 周前的尿液培养结果为阴性。那次就诊时注射器中的尿液呈黄色。下一步是什么？

10

一只蛋白尿犬（UPCR 6）2 周前开始服用低剂量的依那普利，来重新检查 UPCR。UPCR 降到 4 。下一步是什么？

 
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