Constable P D, St Jean G, Hull B L, Rings D M, Hoffsis G F
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Ohio State University, Columbus 43210.
J Am Vet Med Assoc. 1991 Oct 1;199(7):892-8.
A prospective study evaluating the prognostic value of surgical and postoperative findings in 80 cattle with abomasal volvulus was performed. Surgical correction of abomasal volvulus was performed in all animals. After surgery, cattle were categorized into 3 groups: productive (acceptable milk production or appetite, n = 59), salvaged (poor milk production or appetite, n = 10), and nonsurvivors (n = 11). Cattle with omasal-abomasal volvulus had a significantly (P less than 0.005) worse prognosis than cattle without omasal involvement. Large abomasal fluid volume, venous thrombosis, and blue or black abomasal color before decompression were all indicative of a poor prognosis. Most cattle had poor or fair appetites the first day after surgery; productive animals had marked improvement in appetite over the next 3 days. All cattle observed to have a good appetite within 3 days after surgery were later determined to be productive animals. The heart rate decreased in all groups after surgery; however, tachycardia (heart rate greater than 80 beats/min) was sustained in cattle that were later salvaged for slaughter. Diarrhea was observed after surgery in 54% of cattle. The duration of diarrhea was significantly shorter (P = 0.009) in productive cattle than in salvaged and nonsurviving cattle. The presence or absence of diarrhea was only of predictive value when considered in conjunction with the estimated abomasal fluid volume.
进行了一项前瞻性研究,评估80头患有皱胃扭转的牛的手术及术后检查结果的预后价值。所有动物均接受了皱胃扭转的手术矫正。术后,牛被分为3组:生产性能良好组(产奶量或食欲可接受,n = 59)、挽救组(产奶量或食欲差,n = 10)和非存活组(n = 11)。伴有瓣皱胃扭转的牛的预后明显(P < 0.005)比不伴有瓣胃受累的牛差。大量皱胃液、静脉血栓形成以及减压前皱胃呈蓝色或黑色均提示预后不良。大多数牛在术后第一天食欲差或一般;生产性能良好的动物在接下来的3天食欲明显改善。所有在术后3天内观察到食欲良好的牛后来都被确定为生产性能良好的动物。术后所有组的心率均下降;然而,后来被挽救用于屠宰的牛持续存在心动过速(心率大于80次/分钟)。54%的牛术后出现腹泻。生产性能良好的牛腹泻持续时间明显短于(P = 0.009)挽救组和非存活组的牛。腹泻的有无只有与估计的皱胃液量结合考虑时才有预测价值。