Kümper H
Medizinischen und Gerichtlichen Veterinärklinik II (Innere Krankheiten der Wiederkäuer, Justus-Liebig-Universität-Giessen.
Tierarztl Prax. 1994 Jun;22(3):234-41.
A report is given about the course of urolithiasis in 34 rams and 18 castrated billy-goats. Different therapeutic procedures of this disease are discussed. Concrements in the processus urethrae (n = 27) were removed by amputation of this organ. In animals with a further proximal situated urethral obstruction an ischiourethrostomy was done (n = 7). 21 animals were healed and 9 animals were sent home in an improved condition, but with urine leaking from an artificial opening. Complications as: hyperdistended and ruptured bladder (n = 9) or hydronephrosis caused by severe urine pressure were mostly seen when the diagnosis urolithiasis had been urine pressure were mostly seen when the diagnosis urolithiasis had been confirmed too late, or when the animals had been treated for several days only with analgetics or spasmolytics. Urine cellulitis of the ventral abdomen (n = 11) had not always a bad prognosis. 7 of 11 cases were healed.
报告了34只公羊和18只去势公山羊的尿石症病程。讨论了该疾病的不同治疗方法。尿道突中的结石(n = 27)通过切除该器官取出。对于尿道梗阻位置更近端的动物,进行了坐骨尿道造口术(n = 7)。21只动物治愈,9只动物病情好转后被送回家,但人工开口处有尿液渗漏。并发症如膀胱过度扩张和破裂(n = 9)或由严重尿压引起的肾积水,大多在尿石症诊断过晚时出现,或者当动物仅用镇痛药或解痉药治疗数天时出现。腹侧腹部的尿液蜂窝织炎(n = 11)并非总是预后不良。11例中有7例治愈。