Clinical Department of Ruminant, University of Liege, Liege, Belgium
Gestion et Prévention de Santé, Regional Association of Health and Animal Identification, Ciney, Belgium.
Vet Rec. 2020 Oct 3;187(7):e49. doi: 10.1136/vr.105867. Epub 2020 Jun 26.
Parietal fibrinous peritonitis (PFP) and generalised peritonitis (GP) are two postoperative complications in cows, characterised by fluid and fibrin accumulation throughout the peritoneum (GP) or in an encapsulated cavity (PFP). Unlike GP, PFP is scarcely documented.
Twenty-one GP cases and 12 PFP cases were confirmed by ultrasound in cows referred to the Veterinary Clinic (Liège University) for complications after caesarean section. All cows underwent a standardised examination protocol. Blood samples were analysed for metabolic and inflammatory markers. Bacteriology was performed on peritoneal fluid samples. Treatment consisted of surgical drainage of the abdominal cavity (GP) or the encapsulated cavity (PFP). Variables concerning anamnesis, clinical findings and treatment outcomes were compared.
Perioperative complications had occurred in 9/21 GP cows but 0/12 PFP cows (P<0.05). Biochemical analysis indicated pronounced inflammation and did not differ between groups. Peritoneal fluid samples of both groups were contaminated and contained similar bacteria ( and ). While 11/12 PFP cows were discharged, all patients with GP died or were euthanased (P<0.05).
We hypothesise that PFP and GP are two different manifestations of perioperative peritoneal contamination. The severity and spread of the contamination determine the clinical presentation and the prognosis.
壁层纤维性腹膜炎（PFP）和弥漫性腹膜炎（GP）是奶牛术后的两种并发症，其特征为整个腹膜（GP）或包裹性腔中存在液体和纤维蛋白积聚。与 GP 不同，PFP 鲜有报道。
在因剖宫产术后并发症而转诊至列日大学兽医诊所的奶牛中，通过超声确诊了 21 例 GP 病例和 12 例 PFP 病例。所有奶牛均接受了标准化检查方案。对血液样本进行代谢和炎症标志物分析。对腹膜液样本进行细菌学检查。治疗包括对腹腔（GP）或包裹性腔（PFP）进行手术引流。对病史、临床发现和治疗结果相关的变量进行比较。
9/21 例 GP 奶牛发生围手术期并发症，但 0/12 例 PFP 奶牛发生（P<0.05）。生化分析表明炎症明显，但两组间无差异。两组的腹膜液样本均受到污染，且含有相似的细菌（和）。12 例 PFP 奶牛中有 11 例出院，而所有 GP 奶牛均死亡或被安乐死（P<0.05）。
我们假设 PFP 和 GP 是围手术期腹膜污染的两种不同表现形式。污染的严重程度和范围决定了临床症状和预后。
