最後更新:2026年10月1日
胰臟或十二指腸G細胞腫瘤分泌過量胃泌素,導致難治性胃十二指腸潰瘍、嘔吐、腹瀉及體重減輕,為功能性胰臟神經內分泌腫瘤。
Feline diabetes mellitus is typically Type 2 (insulin resistance + beta cell dysfunction). Obese male cats are predisposed. Remission is possible with early aggressive insulin therapy (glargine or PZI) and dietary management (high-protein, low-carbohydrate). Diabetic ketoacidosis requires emergency management.
罕見,中老年犬,多為惡性且常轉移
建議:0.9% NaCl(DKA)或含 Dextrose 晶體液(低血糖),依病因調整
類型:0.9% NaCl
監測頻率:回診時 + 居家監控
[1]Gastrinoma and Zollinger-Ellison syndrome in canids: a literature review and a case in a Mexican gray wolf.
[2]AAHA Diabetes Management Guidelines for Dogs and Cats
建議數日內就診評估,非立即危及生命但不宜拖延 (evaluation within days recommended, not immediately life-threatening)
預後不良,多數診斷時已轉移。即使手術切除,復發常見。中位存活時間約6-12個月。質子幫浦抑制劑可改善症狀但無法治癒。
胃泌素瘤 診斷流程
詳細問診包括發病經過、用藥史、飲食與環境
CBC、生化全套、尿液分析
來源:自動產生