Sockett D C, Knight A P, Fettman M J, Kiehl A R, Smith J A, Arnold S M
Cornell Vet. 1986 Apr;76(2):198-212.
Metabolic changes were studied in the serum, saliva and peritoneal fluid of 5 healthy yearling feedlot steers after experimentally induced urinary bladder rupture. There were statistically significant decreases in serum, saliva and peritoneal fluid sodium and chloride values and significant increases in serum, saliva and peritoneal fluid urea nitrogen, creatinine and phosphorus values. Serum calcium, pH, bicarbonate, and base excess decreased significantly. Potassium did not change significantly in serum but did increase significantly in the saliva. The hemogram and peritoneal fluid analysis failed to provide clinicopathologic evidence of peritonitis. The average time of death or euthanasia after bladder rupture was 13.6 days with a range of 8-21 days. No single biochemical parameter could be identified which would allow prediction of the approaching time of death or duration of the disease process. There was no peritonitis at necropsy indicating that urine was not irritating to the bovine peritoneal cavity. Extracellular replacement fluid with or without sodium bicarbonate supplementation appeared to be the fluid of choice for correction of fluid and electrolyte imbalances in steers with ruptured urinary bladders. The ratio between serum and peritoneal fluid creatinine concentrations appears to be valuable for the clinical diagnosis of ruptured urinary bladders in steers.
对5头健康的一岁育肥牛进行实验性诱导膀胱破裂后,研究了其血清、唾液和腹腔液中的代谢变化。血清、唾液和腹腔液中的钠和氯值有统计学意义的下降,血清、唾液和腹腔液中的尿素氮、肌酐和磷值有显著升高。血清钙、pH值、碳酸氢盐和碱剩余显著下降。血清中的钾没有显著变化,但唾液中的钾显著增加。血常规和腹腔液分析未能提供腹膜炎的临床病理证据。膀胱破裂后平均死亡或安乐死时间为13.6天,范围为8 - 21天。没有单一的生化参数能够预测临近的死亡时间或疾病进程的持续时间。尸检时没有腹膜炎,表明尿液对牛腹腔没有刺激性。补充或不补充碳酸氢钠的细胞外替代液似乎是纠正膀胱破裂公牛体液和电解质失衡的首选液体。血清和腹腔液肌酐浓度之比似乎对临床诊断公牛膀胱破裂有价值。