Hirvonen J, Pyörälä S
Department of Clinical Veterinary Sciences, Faculty of Veterinary Medicine, University of Helsinki, Finland.
Vet J. 1998 Jan;155(1):53-61. doi: 10.1016/s1090-0233(98)80036-1.
Ninety-seven dairy cows suffering from traumatic reticuloperitonitis, abomasal displacement, and other gastrointestinal disorders or dystocia were referred for abdominal surgery. Plasma protein concentrations, including plasma fibrinogen and haptoglobin, and conventional haematological variables were determined both pre- and postoperatively. The examined variables were not of value in predicting the outcome of the abdominal disorders in general, but fibrinogen concentrations may be helpful in postoperative monitoring of infectious complications, such as peritonitis. Fifty-five per cent of the cows had increased haptoglobin concentrations preoperatively and abdominal surgery led to an additional haptoglobin increase for a further 2-3 days. It is recommended that pre- and postoperative haptoglobin values should be compared when monitoring infectious complications. Non-parametric receiver operating characteristics (ROC) analysis suggested that plasma haptoglobin concentration was the most accurate parameter for differentiating traumatic reticuloperitonitis from other gastrointestinal disorders, but plasma fibrinogen and globulin concentrations were also of value in this respect.
97头患有创伤性网胃炎、真胃移位及其他胃肠疾病或难产的奶牛被转诊接受腹部手术。术前和术后均测定了血浆蛋白浓度,包括血浆纤维蛋白原和触珠蛋白,以及常规血液学指标。总体而言,所检测的指标对于预测腹部疾病的预后并无价值,但纤维蛋白原浓度可能有助于术后监测感染性并发症,如腹膜炎。55%的奶牛术前触珠蛋白浓度升高,腹部手术导致触珠蛋白在术后2 - 3天进一步升高。建议在监测感染性并发症时应比较术前和术后的触珠蛋白值。非参数接受者操作特征(ROC)分析表明,血浆触珠蛋白浓度是区分创伤性网胃炎与其他胃肠疾病的最准确参数,但血浆纤维蛋白原和球蛋白浓度在这方面也有价值。