Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.
Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin, Madison 53706, USA.
Vet Clin North Am Food Anim Pract. 2023 Jul;39(2):241-259. doi: 10.1016/j.cvfa.2023.02.009. Epub 2023 Apr 7.
This article reviews the history of clinical hypocalcemia and the evolving definition of subclinical hypocalcemia, targeting a concept for consideration that not all hypocalcemia is negative. With a goal of presenting bovine practitioners information to assist with individual animal hypocalcemia diagnosis and treatment as well as herd-level monitoring and prevention, we present current methods of direct calcium measurement, therapeutic interventions for clinical hypocalcemia, and postpartum calcium supplementation options and their efficacy. We encourage veterinarians to understand calcium dynamics in the immediate postpartum period and evaluate how individual cow therapy and herd prevention protocols can assist with supporting calcium regulation.
本文回顾了临床低钙血症的历史和亚临床低钙血症的不断发展的定义，旨在提出一个概念，即并非所有低钙血症都是负面的。我们的目的是为牛病从业者提供信息，以协助进行个体动物低钙血症的诊断和治疗，以及群体监测和预防，因此我们介绍了直接钙测量的当前方法、临床低钙血症的治疗干预措施，以及产后钙补充剂的选择及其功效。我们鼓励兽医了解产后即刻的钙动态，并评估个体牛治疗和群体预防方案如何有助于支持钙调节。
