van Beukelen P, Dik K J, Wester P W
Tijdschr Diergeneeskd. 1979 Jul 1;104(13):550-5.
The clinical, radiographic and post-mortem studies in an 18-month-old heifer are reviewed. The complaint was that the animal had not been eating and drinking for as long as ten days. Clinical studies revealed obvious changes of the respiratory and circulatory systems: marked engorgement of the jugular veins, clapotement synchronous with the heart beat and bronchial respiration over the apical lobes. Clinical examination was followed by a differential diagnosis in which traumatic pericarditis, pleurisy and an intrathoracic abscess were mainly considered, and is was decided to carry out radiography. The X-rays showed a major lesion, within which a horizontal level was observed. In addition, a large foreign body was discernible. The animal died within a few days and the diagnosis of traumatic pericarditis was verified, though pleurisy was also found to be present. The ichorous splenitis revealed by the post-mortem studies was not observed on clinical examination. The difficulties involved in arriving at a correct differentiation between pericarditis, pleuristy and an abcess are discussed in retrospect.
对一头18个月大的小母牛进行了临床、放射学和尸检研究。主诉该动物已有长达十天的时间不吃不喝。临床研究显示呼吸和循环系统有明显变化：颈静脉明显充血，有与心跳同步的拍水音，肺尖叶有支气管呼吸音。临床检查后进行了鉴别诊断，主要考虑创伤性心包炎、胸膜炎和胸腔内脓肿，并决定进行放射检查。X光片显示有一个主要病变，其中观察到一个水平液面。此外，还可辨认出一个大的异物。这头动物在几天内死亡，创伤性心包炎的诊断得到证实，不过也发现存在胸膜炎。尸检研究显示的腐败性脾炎在临床检查中未观察到。回顾性地讨论了在心包炎、胸膜炎和脓肿之间进行正确鉴别的困难。
