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超声检查与临床呼吸评分在断奶期奶用水牛和奶牛犊呼吸系统疾病诊断及预后评估中的比较

Comparative evaluation of ultrasonography with clinical respiratory score in diagnosis and prognosis of respiratory diseases in weaned dairy buffalo and cattle calves.

作者信息

Hussein Hussein Awad, Binici Cagri, Staufenbiel Rudolf

机构信息

1Internal Veterinary Medicine, Department of Animal Medicine, Faculty of Veterinary Medicine, Assiut University, Assiut, 71526 Egypt.

2Klinik für Klauentiere, Freie Universität Berlin, 14163 Berlin, Germany.

出版信息

J Anim Sci Technol. 2018 Dec 3;60:29. doi: 10.1186/s40781-018-0187-3. eCollection 2018.

Abstract

BACKGROUND

Respiratory troubles have economic impacts in countries where livestock industry is an important segment of the agricultural sector, as well as these problems may cause significant economic losses for bovine producers. Various practical methods are used to assess diseases that affect the bovine respiratory system. Ultrasonography is a noninvasive tool that has been used frequently in diagnosis of various animal diseases. The present study was designed to establish whether thoracic ultrasonography is a diagnostic tool for detection of respiratory troubles in weaned buffalo and cattle calves, as well as to assess its prognostic value in comparison with clinical respiratory scores. Thirty five (15 buffalo and 20 cattle) calves were included. Twelve (6 buffalo and 6 cattle) clinically healthy calves were enrolled as controls.

RESULTS

Based on physical examinations, clinical respiratory scores (CRS), ultrasound lung scores (ULS) and postmortem findings, animals were classified into 4 groups as pulmonary emphysema ( = 8), interstitial pulmonary syndrome ( = 7), bronchopneumonia ( = 12), and pleurisy ( = 8). The mean values of CRS and ULS were significantly higher in diseased calves ( < 0.01). In calves with pulmonary emphysema and interstitial syndrome, thoracic ultrasonography revealed numerous comet-tail artifacts, which varied in numbers and imaging features. Furthermore, variable degrees of pulmonary consolidation with alveolograms and bronchograms were noticed in bronchopneumonic calves. In addition, thick irregular or fragmented pleura with pleural effusions and fibrin shreds were imaged in calves with pleurisy. A weak correlation was calculated between CRS and ULS ( = 0.55,  < 0.01). Hematologically, the counts of white blood cells, activities of aspartate aminotransferase and partial tensions of carbon dioxide were significantly increased in all diseased groups. Serum concentrations of total globulins were higher in claves with bronchopneumonia ( < 0.05). The partial tension of oxygen was decreased in all diseased calves ( < 0.05).

CONCLUSIONS

Thoracic ultrasonography is a diagnostic tool for various lung troubles and assessment the grade and severity of pulmonary diseases, as well as it can be used as a follow-up tool for evaluating the prognosis of respiratory troubles and monitoring the efficacy of therapies.

摘要

背景

在畜牧业是农业重要组成部分的国家,呼吸道疾病会产生经济影响,并且这些问题可能给牛生产者造成重大经济损失。人们使用各种实用方法来评估影响牛呼吸系统的疾病。超声检查是一种非侵入性工具,已被频繁用于诊断各种动物疾病。本研究旨在确定胸部超声检查是否是检测断奶水牛和牛犊呼吸道疾病的诊断工具,并与临床呼吸评分相比评估其预后价值。纳入了35头犊牛(15头水牛和20头牛)。12头(6头水牛和6头牛)临床健康的犊牛作为对照。

结果

根据体格检查、临床呼吸评分(CRS)、超声肺评分(ULS)和尸检结果,动物被分为4组,即肺气肿(=8)、间质性肺综合征(=7)、支气管肺炎(=12)和胸膜炎(=8)。患病犊牛的CRS和ULS平均值显著更高(<0.01)。在患有肺气肿和间质性综合征的犊牛中,胸部超声检查显示出大量彗尾伪像,其数量和成像特征各不相同。此外,在支气管肺炎犊牛中观察到不同程度的肺实变,并伴有肺泡造影和支气管造影。此外,在患有胸膜炎的犊牛中,成像显示胸膜增厚不规则或破碎,并伴有胸腔积液和纤维蛋白碎片。计算得出CRS和ULS之间存在弱相关性(=0.55,<0.01)。血液学方面,所有患病组的白细胞计数、天冬氨酸转氨酶活性和二氧化碳分压均显著升高。支气管肺炎犊牛的血清总球蛋白浓度更高(<0.05)。所有患病犊牛的氧分压均降低(<0.05)。

结论

胸部超声检查是诊断各种肺部疾病以及评估肺部疾病分级和严重程度的诊断工具,并且它可以用作评估呼吸道疾病预后和监测治疗效果的随访工具。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/656b/6276192/5b31d247543e/40781_2018_187_Fig1_HTML.jpg

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