Kümper H
Medizinischen und Gerichtlichen Veterinärklinik II, Justus-Liebig-Universität Giessen.
Tierarztl Prax. 1994 Feb;22(1):25-7.
Abomasal bloat in calves can be a rapidly progressing, life-threatening disease. Gas must be removed from the tympanic abomasum as fast as possible, to prevent the calf from choking. It is very difficult to reach the abomasum with a stomach tube and in most cases it is also not possible to remove all gas from the abomasum by a single puncture in the distended right flank. A report is given about a method of abomasal puncture that can remove all abomasal gas by one single puncture. The calf is turned upside down and a puncture is performed with a 1.4 x 50 mm needle median on the highest point of the distended abdominal wall just between the umbilicus and xiphoid. Between 1985 and 1992 twenty of twenty-one calves that were suffering from abomasal tympany could be healed without further complications by one single puncture. When the state of health is getting worse or when the calf is bloating again within 2 or 3 hours after the puncture, a diagnostic laparotomy must be done, in order to detect and to treat a possibly twisted abomasum.
犊牛真胃扩张是一种发展迅速、危及生命的疾病。必须尽快从鼓胀的真胃中排出气体，以防止犊牛窒息。用胃管很难到达真胃，而且在大多数情况下，通过在膨胀的右侧腹进行单次穿刺也不可能将真胃中的所有气体排出。本文报道了一种真胃穿刺方法，该方法可通过单次穿刺排出真胃内的所有气体。将犊牛倒置，在脐部和剑突之间膨胀腹壁的最高点正中用一根1.4×50毫米的针头进行穿刺。1985年至1992年间，21头患有真胃鼓气的犊牛中有20头通过单次穿刺治愈，无进一步并发症。如果健康状况恶化，或者在穿刺后2至3小时内犊牛再次出现腹胀，则必须进行诊断性剖腹术，以便检测和治疗可能发生扭转的真胃。
