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一项对51例小腿部腹部问题的回顾性研究:病因、诊断及预后

A retrospective study of 51 cases of abdominal problems in the calf: etiology, diagnosis and prognosis.

作者信息

Naylor J M, Bailey J V

出版信息

Can Vet J. 1987 Oct;28(10):657-62.

PMID:17422908
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1680516/
Abstract

A retrospective study of 51 calves less than two months of age showing signs of abdominal pain or presented because of abdominal distension was carried out to evaluate the relationship between etiological, diagnostic, and prognostic characteristics. We found that the age of the calf differed with the type of lesion present. Calves under eight days of age had a 73% incidence of lesions which required surgical therapy. Atresia of part of the intestinal tract was the most frequently diagnosed problem, In eight-day to two-month-old calves, medical causes of colic were more common; only 26% of cases had lesions that required surgical correction. Gaseous distension of the abomasum and intestine was the most frequent cause of colic in older calves. Other abdominal problems observed in this study included abomasal ulceration and abomasal torsion.Mortality was more common in calves with surgical problems. Of the 21 calves with surgical problems, 76% died compared with a 20% mortality rate in the 30 calves with medical problems. Because of the high incidence of surgical problems in young calves, mortality was 69% in calves under eight days of age and only 33% in older calves. The chance of recovery decreased with the severity of hypothermia and dehydration. Most calves (75%) which were recumbent at presentation died, whereas only 29% of calves which were alert and able to stand at presentation died. Hematological findings indicative of severe inflammation were poor prognostic signs. Heart rate and the apparent severity of abdominal pain were not useful prognostic indicators.

摘要

对51头小于两个月龄、表现出腹痛迹象或因腹胀就诊的犊牛进行了一项回顾性研究,以评估病因、诊断和预后特征之间的关系。我们发现犊牛的年龄与所存在的病变类型不同。8日龄以下的犊牛,需要手术治疗的病变发生率为73%。肠道部分闭锁是最常诊断出的问题。在8日龄至两个月龄的犊牛中,绞痛的医学原因更为常见;只有26%的病例有需要手术矫正的病变。皱胃和肠道的气体扩张是较大犊牛绞痛的最常见原因。本研究中观察到的其他腹部问题包括皱胃溃疡和皱胃扭转。手术问题的犊牛死亡率更高。在21头有手术问题的犊牛中,76%死亡,而30头有医学问题的犊牛死亡率为20%。由于幼龄犊牛手术问题发生率高,8日龄以下犊牛的死亡率为69%,较大犊牛仅为33%。恢复的机会随着体温过低和脱水的严重程度而降低。就诊时侧卧的犊牛大多数(75%)死亡,而就诊时警觉且能站立的犊牛只有29%死亡。提示严重炎症的血液学检查结果是不良预后体征。心率和腹痛的明显严重程度不是有用的预后指标。

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本文引用的文献

1
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Can Vet J. 1985 Feb;26(2):74-80.
2
Torsion of the abomasum in a one month old calf.1月龄犊牛真胃扭转
Can Vet J. 1984 Jul;25(7):293-5.
3
Prognosis in equine colic: a comparative study of variables used to assess individual cases.马属动物急腹症的预后:用于评估个体病例的变量的比较研究。
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Bleeding abomasal ulcers in adult dairy cattle.成年奶牛皱胃出血性溃疡
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Surgical resection of perforated abomasal ulcers in calves.犊牛皱胃穿孔性溃疡的手术切除
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Zentralbl Veterinarmed A. 1971 Aug;18(6):481-8.
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Small cell malignant tumors of the thyroid. A light and electron microscopic study.甲状腺小细胞恶性肿瘤。一项光镜和电镜研究。
Hum Pathol. 1975 Nov;6(6):731-40. doi: 10.1016/s0046-8177(75)80081-5.
8
Plasma total protein measurement for prediction of disease and mortality in calves.血浆总蛋白测定对犊牛疾病和死亡率的预测作用
J Am Vet Med Assoc. 1977 Oct 1;171(7):635-8.
9
Circulatory shock: etiology and pathophysiology.循环性休克:病因与病理生理学
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