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氯化物和乳酸盐作为 89 例犊牛腹泻的预后指标。

Chloride and lactate as prognostic indicators of calf diarrhea from eighty-nine cases.

机构信息

Department of Internal Medicine, Faculty of Veterinary Medicine, Erciyes University, Talas/Kayseri 38280, Türkiye.

出版信息

J Vet Sci. 2024 May;25(3):e38. doi: 10.4142/jvs.23155.

Abstract

IMPORTANCE

Deaths due to neonatal calf diarrhea are still one of the most critical problems of cattle breeding worldwide. Determining the parameters that can predict diarrhea-related deaths in calves is especially important in terms of prognosis and treatment strategies for the disease.

OBJECTIVE

The primary purpose of this study was to determine mortality rates and durations, survival status, and predictive prognosis parameters based on vital signs, hematology, and blood gas analyses in neonatal diarrheic calves.

METHODS

The hospital automation system retrospectively obtained data from 89 neonatal diarrheic calves.

RESULTS

It was found that 42.7% (38/89) of the calves brought with the complaint of diarrhea died during hospitalization or after discharge. Short-term and long-term fatalities were a median of 9.25 hours and a median of 51.50 hours, respectively. When the data obtained from this study is evaluated, body temperature (°C), pH, base excess (mmol/L), and sodium bicarbonate (mmol/L) parameters were found to be lower, and hemoglobin (g/dL), hematocrit (%), lactate (mmol/L), chloride (mmol/L), sodium (mmol/L) and anion gap (mmol/L) parameters were found to be higher in dead calves compared to survivors. Accordingly, hypothermia, metabolic acidosis, and dehydration findings were seen as clinical conditions that should be considered. Logistic regression analysis showed that lactate (odds ratio, 1.429) and CI (odds ratio, 1.232) concentration were significant risk factors associated with death in calves with diarrhea.

CONCLUSIONS AND RELEVANCE

According to the findings obtained from this study, the determination of lactate and Cl levels can be used as an adjunctive supplementary test in distinguishing calves with diarrhea with a good prognosis.

摘要

重要性

新生犊牛腹泻导致的死亡仍然是全球养牛业最严重的问题之一。确定能够预测犊牛腹泻相关死亡的参数对于疾病的预后和治疗策略尤为重要。

目的

本研究的主要目的是确定基于生命体征、血液学和血气分析的新生腹泻犊牛的死亡率和持续时间、生存状况和预测预后参数。

方法

医院自动化系统回顾性地从 89 头新生腹泻犊牛中获取数据。

结果

研究发现,42.7%(38/89)的腹泻就诊犊牛在住院期间或出院后死亡。短期和长期死亡率的中位数分别为 9.25 小时和 51.50 小时。当评估本研究获得的数据时,发现体温(°C)、pH 值、碱剩余(mmol/L)和碳酸氢盐(mmol/L)参数较低,而血红蛋白(g/dL)、红细胞压积(%)、乳酸(mmol/L)、氯(mmol/L)、钠(mmol/L)和阴离子间隙(mmol/L)参数在死亡犊牛中较高。因此,发现低体温、代谢性酸中毒和脱水表现为应考虑的临床情况。逻辑回归分析显示,乳酸(比值比,1.429)和 CI(比值比,1.232)浓度是腹泻犊牛死亡的显著危险因素。

结论和相关性

根据本研究的结果,确定乳酸和 Cl 水平可以作为区分预后良好的腹泻犊牛的辅助补充测试。

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