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腹泻新生犊牛水合状态的临床与实验室评估

Clinical and laboratory assessment of hydration status of neonatal calves with diarrhea.

作者信息

Constable P D, Walker P G, Morin D E, Foreman J H

机构信息

Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois, Urbana 61802, USA.

出版信息

J Am Vet Med Assoc. 1998 Apr 1;212(7):991-6.

PMID:9540870
Abstract

OBJECTIVE

To develop accurate, objective guidelines for assessing hydration status of neonatal calves with diarrhea.

DESIGN

Prospective study.

ANIMALS

15 male dairy calves 3 to 10 days old.

PROCEDURE

Dehydration and diarrhea were induced by administration of diuretic agents (i.e., furosemide, spironolactone, hydrochlorothiazide) and sucrose solution. Linear regression was used to examine the relationship between potentially useful factors for evaluating hydration status (extent of enophthalmos; skin-tent duration on neck, thorax, and upper and lower eyelids; heart rate; mean central venous pressure; peripheral [extremity] and core [rectal] temperatures; core-peripheral [rectal-extremity] temperature difference; PCV; and hemoglobin and plasma protein concentrations) and degree of dehydration, as determined by change in body weight.

RESULTS

Best predictors of degree of dehydration were extent of enophthalmos, skin elasticity on neck and thorax, and plasma protein concentration.

CLINICAL IMPLICATIONS

These experimentally determined guidelines provide practitioners with a simple, inexpensive, and practical method for evaluating hydration status of neonatal calves with diarrhea.

摘要

目的

制定准确、客观的评估腹泻新生犊牛水合状态的指南。

设计

前瞻性研究。

动物

15头3至10日龄的雄性奶牛犊。

程序

通过给予利尿剂(即呋塞米、螺内酯、氢氯噻嗪)和蔗糖溶液诱导脱水和腹泻。采用线性回归分析评估水合状态的潜在有用因素(眼球内陷程度;颈部、胸部以及上下眼睑的皮肤皱褶持续时间;心率;平均中心静脉压;外周(肢体)和核心(直肠)温度;核心-外周(直肠-肢体)温差;红细胞压积;血红蛋白和血浆蛋白浓度)与脱水程度之间的关系,脱水程度由体重变化确定。

结果

脱水程度的最佳预测指标为眼球内陷程度、颈部和胸部的皮肤弹性以及血浆蛋白浓度。

临床意义

这些通过实验确定的指南为从业者提供了一种简单、廉价且实用的方法,用于评估腹泻新生犊牛的水合状态。

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