Kuiper R, Breukink H J
Vet Rec. 1986 Oct 18;119(16):404-6. doi: 10.1136/vr.119.16.404.
In 23 cows suffering from a secondary indigestion, in most cases with septicaemia, the syndrome of functional pyloric stenosis or vagal indigestion developed. The signs were anorexia, ruminal distension with fluid material, abomasal reflux into the ruminoreticulum, dehydration, hypochloraemic, hypokalaemic metabolic alkalosis and uraemia. These signs often disappeared after treatment of both the primary causative disease and the secondary indigestion. The importance of recognising this condition is emphasised, because the serious signs of the secondary indigestion may dominate the causative disease. The prognosis depends upon the causative disease and is not necessarily bad.
在23头患有继发性消化不良（多数伴有败血症）的奶牛中，出现了功能性幽门狭窄或迷走神经性消化不良综合征。症状包括厌食、瘤胃积液性膨胀、真胃内容物反流至瘤胃-网胃、脱水、低氯性低钾代谢性碱中毒和尿毒症。在对原发性致病疾病和继发性消化不良进行治疗后，这些症状通常会消失。强调了认识这种情况的重要性，因为继发性消化不良的严重症状可能掩盖致病疾病。预后取决于致病疾病，不一定很差。
