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静脉注射高渗盐水(7.5%)和口服电解质溶液治疗非传染性腹泻和代谢性酸中毒的犊牛。

Intravenous hypertonic saline solution (7.5%) and oral electrolytes to treat of calves with noninfectious diarrhea and metabolic acidosis.

机构信息

Department of Large Animal Clinical Sciences, Federal University of Santa Maria, UFSM, Santa Maria, Brazil.

出版信息

J Vet Intern Med. 2012 Jul-Aug;26(4):1042-50. doi: 10.1111/j.1939-1676.2012.00960.x. Epub 2012 Jun 18.

Abstract

OBJECTIVE

The aim of this study was to compare the efficacy of treating osmotic diarrhea and dehydration in calves with hypertonic saline solution (HSS) IV, isotonic electrolyte solution (IES) PO, and a combination of these 2 solutions (HSS + IES).

EXPERIMENTAL DESIGN

Eighteen male calves 8-30 days of age were used to evaluate the efficacy of 3 methods of fluid therapy after induction of osmotic diarrhea and dehydration. The diarrhea and dehydration were induced by administration of saccharose, spironolactone, and hydrochlorothiazide for 48 hours. The animals were randomly divided into 3 experimental groups: Group 1: 7.2% hypertonic saline solution-HSS (5 mL/kg IV); Group 2: oral isotonic electrolyte solution IES (60 mL/kg PO); or Group 3: HSS+IES. Clinical signs and laboratory finding observed 48 hours post-induction (Time 0) included diarrhea, dehydration, lethargy, and metabolic acidosis.

RESULTS

Calves treated with HSS + IES experienced decreases in hematocrit, total protein concentration, albumin concentration, urea nitrogen concentration, and plasma volume as well as increases in blood pH, blood bicarbonate concentration, and central venous pressure between 1 and 3 hours post-treatment. These findings also were observed in animals treated with IES, however, at a slower rate than in the HSS + IES-treated animals. Animals treated with HSS continued to display signs of dehydration, lethargy, and metabolic acidosis 24 hours post-treatment.

CONCLUSION

Treatment with a combination of HSS and IES produced rapid and sustainable correction of hypovolemia and metabolic acidosis in calves with noninfections diarrhea and dehydration.

摘要

目的

本研究旨在比较高渗盐水溶液(HSS)静脉内、等渗电解质溶液(IES)口服和这两种溶液联合(HSS+IES)治疗犊牛渗透性腹泻和脱水的疗效。

实验设计

18 头 8-30 日龄雄性犊牛用于评估 3 种补液疗法在诱导渗透性腹泻和脱水后的疗效。通过给予蔗糖、螺内酯和氢氯噻嗪 48 小时来诱导腹泻和脱水。动物随机分为 3 个实验组:第 1 组:7.2%高渗盐水溶液-HSS(5 mL/kg 静脉内);第 2 组:口服等渗电解质溶液 IES(60 mL/kg 口服);或第 3 组:HSS+IES。在诱导后 48 小时(时间 0)观察到的临床症状和实验室发现包括腹泻、脱水、嗜睡和代谢性酸中毒。

结果

HSS+IES 治疗的犊牛在治疗后 1-3 小时内出现血细胞比容、总蛋白浓度、白蛋白浓度、尿素氮浓度和血浆容量下降,而血液 pH 值、血碳酸氢盐浓度和中心静脉压升高。这些发现也在接受 IES 治疗的动物中观察到,但速度比 HSS+IES 治疗的动物慢。HSS 治疗的动物在治疗后 24 小时仍表现出脱水、嗜睡和代谢性酸中毒的迹象。

结论

HSS 和 IES 的联合治疗可快速且可持续地纠正非感染性腹泻和脱水犊牛的低血容量和代谢性酸中毒。

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Hypertonic saline.高渗盐水
Vet Clin North Am Food Anim Pract. 1999 Nov;15(3):559-85. doi: 10.1016/s0749-0720(15)30164-x.
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Intravenous fluid therapy of calves.犊牛的静脉补液疗法。
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