Braun U, Schmid T, Muggli E, Steininger K, Previtali M, Gerspach C, Pospischil A, Nuss K
Department of Farm Animals, University of Zurich.
Schweiz Arch Tierheilkd. 2010 Nov;152(11):515-22. doi: 10.1024/0036-7281/a000117.
The clinical, haematological and biochemical findings, treatment and outcome of 63 cows with haemorrhagic bowel syndrome are described. The general condition and demeanor were moderately to severely abnormal in all the cows. Signs of colic occurred in 27 cows, decreased rectal temperature in 46 and tachycardia in 44. With the exception of one cow, intestinal motility was decreased or absent. Transrectal palpation revealed dilatation of the rumen in 47 cows and dilatation of the small intestine in 18. Faecal output was markedly reduced or absent, and the faeces were dark brown to black and contained blood. Nine cows were euthanized immediately after physical examination. Conservative medical therapy was instituted in two cows; however, both were euthanized a few days later because of deterioration in condition. Exploratory right flank laparotomy was carried out in 52 cows. Of these, 22 were euthanized intraoperatively because of severe lesions. In 27 cows, intestinal massage to reduce the size of blood clots was carried out; 11 were euthanized several days postoperatively because of deterioration in condition. In three other cows, intestinal resection was carried out and all survived. Of the 63 cows, 19 (30.2%) survived and were healthy at the time of discharge from the clinic.
本文描述了63头患有出血性肠综合征奶牛的临床、血液学和生化检查结果、治疗方法及预后情况。所有奶牛的一般状况和行为表现均有中度至重度异常。27头奶牛出现绞痛症状，46头直肠温度降低，44头心动过速。除1头奶牛外，其余奶牛的肠道蠕动均减弱或消失。经直肠触诊发现，47头奶牛瘤胃扩张，18头奶牛小肠扩张。粪便排出量显著减少或无粪便排出，粪便呈深棕色至黑色，且含有血液。9头奶牛在体格检查后立即实施安乐死。2头奶牛接受了保守药物治疗；然而，由于病情恶化，这2头奶牛均在数日后实施安乐死。52头奶牛接受了右侧腹探查性剖腹术。其中，22头因严重病变在术中实施安乐死。对27头奶牛进行了肠道按摩以减少血凝块大小；11头奶牛在术后数天因病情恶化实施安乐死。另外3头奶牛接受了肠切除术，全部存活。63头奶牛中，19头（30.2%）存活，出院时身体健康。
