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2016 | 19 | 1 |

Tytuł artykułu

An analysis of pH, pO2 and pCO2 in the peritoneal fluid of dogs with ascites of various etiologies

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EN

Abstrakty

EN
The aim of the study was to assess pH, pO2 and pCO2 in peritoneal fluid. The study was conducted on a group of 22 dogs with symptoms of ascites. Group 1 consisted of 4 dogs with adenocarcinoma, group 2 – of 6 dogs with glomerulonephritis, group 3 of 8 dogs with hepatic cirrhosis and group 4 of 4 dogs with bacterial peritonitis. An abdominal cavity puncture was performed in all dogs and the fluid was drawn into a heparinized syringe in order to assess pH, pO2 and pCO2. The analysis of pH in the peritoneal fluid revealed statistically significant differences between group 4 and groups 1 (p=0.01), 2 (p=0.01), and 3 (p=0.01). The lowest pH value compared to the other studied groups was recorded in group 4. In group 4, the pO2 was the lowest compared to the other groups (group 1 p=0.01, group 2 p=0.01, group 3 p=0.01). The value of pCO2 was the highest in group 4 compared to groups 1, 2, and 3. The study found statistically significant differences in pH, pO2 and pCO2 between group 4 (the group of dogs with bacterial peritonitis) and the other groups of dogs. This was probably linked to the pathogenesis of peritonitis. As a result of an inflammatory reaction within the peritoneal cavity, there is an increase in fibrin accumulations leading to a decreased oxygen supply causing the oxidative glucose metabolism to change into a non-oxidative glucose metabolism. This, in turn, causes a decrease in pH, acidosis, and a low oxidoreduction potential. It also impairs phagocytosis and activates proteolytic enzymes which create ideal conditions for the growth of anaerobic bacteria. The obtained results indicate that the pH, pO2 and pCO2 may be used to differentiate bacterial peritonitis from ascites of other etiologies.

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-

Rocznik

Tom

19

Numer

1

Opis fizyczny

p.141-145,fig.,ref.

Twórcy

  • Department of Internal Medicine and Clinic of Diseases of Horses, Dogs and Cats, Faculty of Veterinary Medicine, Wroclaw University of Environmental and Life Sciences, pl. Grunwaldzki 47, 50-366 Wroclaw, Poland
autor
  • Department of Internal Medicine and Clinic of Diseases of Horses, Dogs and Cats, Faculty of Veterinary Medicine, Wroclaw University of Environmental and Life Sciences, pl. Grunwaldzki 47, 50-366 Wroclaw, Poland
autor
  • Department of Internal Medicine and Clinic of Diseases of Horses, Dogs and Cats, Faculty of Veterinary Medicine, Wroclaw University of Environmental and Life Sciences, pl. Grunwaldzki 47, 50-366 Wroclaw, Poland
autor
  • Department of Internal Medicine and Clinic of Diseases of Horses, Dogs and Cats, Faculty of Veterinary Medicine, Wroclaw University of Environmental and Life Sciences, pl. Grunwaldzki 47, 50-366 Wroclaw, Poland
autor
  • Department of Internal Medicine and Clinic of Diseases of Horses, Dogs and Cats, Faculty of Veterinary Medicine, Wroclaw University of Environmental and Life Sciences, pl. Grunwaldzki 47, 50-366 Wroclaw, Poland
  • Department of Internal Medicine and Clinic of Diseases of Horses, Dogs and Cats, Faculty of Veterinary Medicine, Wroclaw University of Environmental and Life Sciences, pl. Grunwaldzki 47, 50-366 Wroclaw, Poland

Bibliografia

  • Alleman AR (2003) Abdominal, thoracic, and pericardial effusions. Vet Clin North Am Small Anim Pract 33: 89-118.
  • Bonczynski JJ, Ludwig LL, Barton LJ, Loar A, Peterson ME (2003) Comparison of peritoneal fluid and peripheral blood pH, bicarbonate, glucose and lactate concentration as a diagnostic tool for septic peritonitis in dogs and cats. Vet Surg 32: 161-166.
  • Emoto S, Kitayama J, Yamaguchi H, Ishigami H, Kaisaki S, Nagawa H (2010) Analysis of pO2 in malignant ascites of patients with peritoneal dissemination of gastric cancer. Case Rep Oncol 3: 344-348.
  • Gitlin N, Stauffer JL, Silvestri RC (1982) The pH of ascitic fluid in the diagnosis of spontaneous bacterial peritonitis in alcoholic cirrhosis. Hepatology 2: 408-411.
  • Glińska K (2009) Evaluation of the usefulness of abdominal fluid examination in diagnosing the etiology of ascites in dogs. Med Weter 65: 40-45.
  • Hosgood GL, Salisbury SK (1989) Pathophysiology and pathogenesis of generalized peritonitis. Probl Vet Med 1: 159-167.
  • King LG, Gelens HC (1992) Ascites. Compend Contin Educ Pract Vet 14: 1063-1075.
  • Light RW, MacGregor MI, Luchsinger PC, Ball WC JR (1972) Pleural effusions: the diagnostic separation of transudates and exudates. Ann Intern Med 77: 507-513.
  • Noh SM (2003) Measurement of peritoneal fluid pH in patients with non-serosal invasive gastric cancer. Yonsei Med J 44: 45-48.
  • Sahn SA, Good JT JR (1988) Pleural fluid pH in malignant effusions. Diagnostic, prognostic, and therapeutic implications. Ann Intern Med. 108: 345-349.
  • Sheckman P, Onderdonk AB, Bartlett JG (1977) Anaerobes in spontaneous peritonitis. Lancet 2: 1223.
  • Simmen HP, Blaser J (1993) Analysis of pH and pO2 in abscesses, peritoneal fluid, and drainage fluid in the presence or absence of bacterial infection during and after abdominal surgery. Am J Surg 166: 24-27.
  • Vaupel P, Kelleher DK, Hockel M (2001) Oxygen status of malignant tumors: pathogenesis of hypoxia and significance for tumor therapy. Semin Oncol 28: 29-35.

Typ dokumentu

Bibliografia

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