van den Brink Lianne M, Cohrs Imke, Golbeck Lennart, Wächter Sophia, Dobbelaar Paul, Teske Erik, Grünberg Walter
Department of Farm Animal Health, Utrecht University, 3584 CL Utrecht, The Netherlands.
Clinic for Cattle, University of Veterinary Medicine Hannover, Foundation, 30173 Hanover, Germany.
Animals (Basel). 2023 Jan 25;13(3):404. doi: 10.3390/ani13030404.
Postparturient hemoglobinuria is a sporadic disease characterized by intravascular hemolysis and hemoglobinuria in early lactating dairy cows. The condition has empirically been associated with phosphorus (P) deficiency or hypophosphatemia; however, the exact etiology remains obscure. This paper summarizes two controlled studies investigating the effect of P deprivation during the transition period. In Study I, 36 late pregnant dairy cows were randomly assigned to either a diet with low, or adequate, P content from four weeks before calving to four weeks after calving. In Study II, 30 late pregnant dairy cows were again assigned to either a diet with low, or adequate, P for the last four weeks before calving only. Pronounced hypophosphatemia developed during periods of restricted P supply. In early lactation, a subtle decline of the red blood cell count occurred independently of the dietary P supply. In Study I, anemia developed in 11 cows on deficient P supply, which was associated with hemoglobinuria in five cases. Neither erythrocyte total P content nor osmotic resistance of erythrocytes were altered by dietary P deprivation. Restricted dietary P supply, particularly in early lactation, may lead to postparturient hemoglobinuria, but more frequently causes clinically inapparent hemolysis and anemia in cows.
产后血红蛋白尿症是一种散发性疾病,其特征为泌乳早期的奶牛出现血管内溶血和血红蛋白尿。根据经验,该病与磷(P)缺乏或低磷血症有关;然而,确切病因仍不清楚。本文总结了两项对照研究,调查围产期磷缺乏的影响。在研究I中,36头妊娠后期的奶牛在产犊前四周至产犊后四周被随机分配到低磷或充足磷含量的日粮组。在研究II中,30头妊娠后期的奶牛仅在产犊前最后四周被再次分配到低磷或充足磷的日粮组。在磷供应受限期间出现了明显的低磷血症。在泌乳早期,红细胞计数出现轻微下降,且与日粮磷供应无关。在研究I中,11头磷供应不足的奶牛出现贫血,其中5例伴有血红蛋白尿。日粮磷缺乏并未改变红细胞总磷含量和红细胞渗透抵抗力。日粮磷供应受限,尤其是在泌乳早期,可能导致产后血红蛋白尿症,但更常见的是导致奶牛出现临床不明显的溶血和贫血。