牛的外部疝气导致的小肠嵌顿可通过临床诊断,但要确认内部嵌顿则需要开腹手术。

IF 1.6 2区 农林科学 Q2 VETERINARY SCIENCES
Ueli Braun, Christian Gerspach, Elena Bennien, Monika Hilbe, Karl Nuss
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引用次数: 0

摘要

目的描述小肠内外疝嵌顿(SII)牛的临床、实验室和超声波检查结果、治疗和预后:方法:回顾性审查了 1987 年 1 月 1 日至 2019 年 12 月 31 日期间收治的 85 头小肠嵌顿牛的病历。结果:85 头牛患有疝气:85头牛的小肠通过肠系膜或网膜上的先天或后天开口(内疝;n = 60)或腹壁(外疝;25)疝出。最常见的检查结果是直肠内粪便很少或没有粪便(85 头牛中的 77 头 [90.6%])、肠蠕动减弱或消失(85 头牛中的 76 头 [89.4%])和低钙血症(44 头牛中的 36 头 [81.8%])。13头牛(15.3%)死亡或未经手术即被安乐死。在其余 72 头(84.7%)接受手术的牛中,42 头存活下来。总体而言,85 头牛中有 52 头(61.2%;95% CI,50% 至 72%)未能存活出院,33 头(38.8%;95% CI,28% 至 50%)存活出院。其中 11 头(33.3%;6 头疝气完全闭合,5 头疝气未完全闭合)2 年后仍在各自的畜群中生产:结论:嵌顿性外疝的诊断通常很简单,而内疝则需要开腹手术或尸检才能明确诊断:临床意义:对于有回肠症状的牛,内疝应作为鉴别诊断的一部分。对于有 SII 的牛,立即进行手术治疗至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Small intestinal incarceration caused by external herniation can be diagnosed clinically in cattle, but laparotomy is required to confirm internal incarceration.

Objective: To describe the clinical, laboratory and ultrasonographic findings, treatment, and outcome of cattle with small intestinal incarceration (SII) through internal and external hernias.

Methods: The medical records of 85 cattle with SII admitted between January 1, 1987, and December 31, 2019, were retrospectively reviewed. The long-term outcome was determined 2 years after discharge.

Results: 85 cattle had herniation of the small intestine through congenital or acquired openings in mesentery or omentum (internal herniation; n = 60) or the abdominal wall (external herniation; 25). The most common findings were little or no feces in the rectum (77 of 85 [90.6%]), reduced or absent intestinal motility (76 of 85 [89.4%]), and hypocalcemia (36 of 44 [81.8%]). Thirteen (15.3%) cattle died or were euthanized without surgery. Of the remaining 72 (84.7%) cattle that underwent surgery, 42 survived the procedure. Overall, 52 of 85 cattle (61.2%; 95% CI, 50% to 72%) did not survive to hospital discharge and 33 (38.8%; 95% CI, 28% to 50%) were discharged alive. Of these, 11 (33.3%; 6 with and 5 without hernias closed completely) were still productive in their respective herds 2 years later.

Conclusions: The diagnosis of an incarcerated external hernia is usually straightforward, whereas internal SII necessitates laparotomy or postmortem examination for a definitive diagnosis.

Clinical relevance: Internal herniation should be part of the differential diagnosis in cattle with signs of ileus. Immediate surgical treatment is paramount in cattle with SII.

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来源期刊
CiteScore
1.60
自引率
15.80%
发文量
539
审稿时长
6-16 weeks
期刊介绍: Published twice monthly, this peer-reviewed, general scientific journal provides reports of clinical research, feature articles and regular columns of interest to veterinarians in private and public practice. The News and Classified Ad sections are posted online 10 days to two weeks before they are delivered in print.
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