Department of Farm Animals, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.
Clinic of Diagnostic Imaging, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland.
Acta Vet Scand. 2018 Sep 17;60(1):55. doi: 10.1186/s13028-018-0410-8.
The treatment of traumatic reticuloperitonitis (TRP) in cattle has a long and impressive history that goes back more than 100 years. This study describes treatment for TRP in 503 cattle. Initial treatment was based on radiographic findings; cattle with a foreign body attached to a magnet were treated conservatively using antibiotics, anti-inflammatory drugs and intravenous fluids. Cattle with a foreign body lying on the ventral aspect of the reticulum or penetrating or perforating the reticulum received a magnet in addition to medical treatment. Cattle were radiographed again the next day. When the foreign body was completely attached to the magnet, medical treatment was continued. When the foreign body was not attached or still penetrated/perforated the reticulum, a rumenotomy was carried out.
Of the 503 cattle, 232 were treated conservatively, 206 underwent surgery, 61 were slaughtered or euthanased and four were treated after discharge at home with a magnet and antibiotics. Surgical treatment was significantly more successful than conservative treatment; 90% of 206 operated and 82% of 232 medically-treated cattle were discharged.
For practical purposes, cattle suspected of having traumatic reticuloperitonitis should initially be treated with a magnet and antibiotics and re-evaluated, ideally radiographically, when response to treatment does not occur within 3 or 4 days. Surgery is limited to cases in which the foreign body fails to completely attach to the magnet.
牛创伤性网胃腹膜炎（TRP）的治疗历史悠久，可追溯到 100 多年前。本研究描述了对 503 头牛的 TRP 治疗。初始治疗基于射线照相结果；对于附着在磁铁上的异物，使用抗生素、消炎药和静脉输液进行保守治疗。对于躺在网胃腹侧面的异物或穿透或穿孔网胃的异物，除了药物治疗外，还给予磁铁。第二天再次对牛进行射线照相。当异物完全附着在磁铁上时，继续进行药物治疗。当异物未附着或仍穿透/穿孔网胃时，进行瘤胃切开术。
在 503 头牛中，232 头接受保守治疗，206 头接受手术治疗，61 头被屠宰或安乐死，4 头在出院后在家中使用磁铁和抗生素治疗。手术治疗明显比保守治疗更成功；206 例手术治疗的牛中有 90%和 232 例药物治疗的牛中有 82%出院。
出于实际目的，疑似患有创伤性网胃腹膜炎的牛应首先使用磁铁和抗生素进行治疗，并在治疗 3 或 4 天后未见反应时重新评估，理想情况下进行射线照相检查。手术仅限于异物未能完全附着在磁铁上的情况。
