瑞士 126 头牛小肠肠套叠的回顾性研究。

IF 1.3 Q2 VETERINARY SCIENCES Veterinary Record Open Pub Date : 2023-03-28 eCollection Date: 2023-06-01 DOI:10.1002/vro2.58
Ueli Braun, Christian Gerspach, Claudia Volz, Muriel Boesiger, Monika Hilbe, Karl Nuss
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摘要

背景:肠套叠是一种肠回盲:肠套叠是肠道回流的一种形式,即口腔肠段滑入相邻的口腔肠段,导致肠道阻塞:方法:我们分析了 126 头小肠肠套叠牛的病历:结果:123 头牛的举止和食欲异常。26.2%的牛有非特异性疼痛症状,46.8%的牛有内脏疼痛症状,56.4%的牛有顶叶疼痛症状。93.7% 的牛肠蠕动减弱或消失。最常见的经直肠触诊结果是瘤胃扩张(37.3%)和小肠扩张(24.6%)。96% 的牛直肠内没有粪便或只有少量粪便。主要的实验室检查结果为低钾血症(89.6%)、低钙血症(76.5%)、碱过量(72.9%)、低氯血症(71.8%)、氮质血症(62.1%)和血液浓缩(61.1%)。超声波检查的主要结果是肠蠕动减弱或消失(98.2%)和小肠扩张(96.0%)。87.8%的患者被诊断为回肠梗阻,另有9.8%的患者被诊断为肠套叠引起的回肠梗阻。对 114 头牛进行了右侧腹腔手术。56头牛(44.4%)康复出院:结论:牛肠套叠的临床表现通常没有特异性。结论:牛肠套叠的临床表现往往不具特异性,可能需要通过超声波检查来诊断回肠。
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A retrospective review of small intestinal intussusception in 126 cattle in Switzerland.

Background: Intussusception is a form of ileus of the intestines in which an oral intestinal segment slides into the adjacent aboral intestinal segment, causing obstruction of the bowel.

Methods: We analysed the medical records of 126 cattle with intussusception of the small intestine.

Results: Demeanour and appetite were abnormal in 123 cattle. Non-specific signs of pain occurred in 26.2%, signs of visceral pain in 46.8% and signs of parietal pain in 56.4%. Intestinal motility was decreased or absent in 93.7% of the cattle. The most common findings of transrectal palpation were rumen dilation (37.3%) and dilated small intestines (24.6%). In 96% of the cattle, the rectum was empty or contained little faeces. The principal laboratory findings were hypokalaemia (89.6%), hypocalcaemia (76.5%), base excess (72.9%), hypochloraemia (71.8%), azotaemia (62.1%) and haemoconcentration (61.1%). The main ultrasonographic findings were reduced or absent intestinal motility (98.2%) and dilated small intestines (96.0%). A diagnosis of ileus was made in 87.8% and a diagnosis of ileus attributable to intussusception was made in another 9.8%. Right-flank laparotomy was carried out in 114 cattle. Fifty-six (44.4%) cows were discharged.

Conclusions: Clinical findings of intussusception in cattle are often non-specific. Ultrasonography may be required to diagnose ileus.

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来源期刊
Veterinary Record Open
Veterinary Record Open VETERINARY SCIENCES-
CiteScore
3.00
自引率
0.00%
发文量
25
审稿时长
19 weeks
期刊介绍: Veterinary Record Open is a journal dedicated to publishing specialist veterinary research across a range of topic areas including those of a more niche and specialist nature to that considered in the weekly Vet Record. Research from all disciplines of veterinary interest will be considered. It is an Open Access journal of the British Veterinary Association.
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