In-hospital development of an aorto-cardiac fistula in a Warmblood gelding with chronic renal disease

A 20-year-old Warmblood gelding presented for evaluation and treatment of ventral oedema and azotaemia of unknown aetiology. On presentation, a diastolic heart murmur was appreciated and echocardiography revealed moderate aortic insufficiency due to chronic degenerative valve disease. The horse was hospitalised and failed to respond to oral and i.v. fluids and diuretics. Following discontinuation of all fluid and diuretic therapy, the horse became acutely agitated and developed monomorphic ventricular tachycardia. The ventricular tachycardia spontaneously converted to normal sinus rhythm, however the heart murmur changed in timing to a right basilar continuous murmur and bounding jugular pulses were noted. Repeat echocardiogram revealed an aorto-cardiac fistula with dissection into the basilar interventricular septum and left-sided chamber volume overload that was not previously present. Attempts at stabilisation were unsuccessful and euthanasia was elected. Post-mortem examination confirmed chronic renal disease of unknown aetiology in addition to an aorto-cardiac fistula originating from the right sinus of Valsalva with subsequent dissection into the basilar interventricular septum.     

IMAGING DIAGNOSIS—URETHROVAGINAL FISTULA CAUSED BY A MIGRATING GRASS AWN IN THE VAGINA

A young intact female dog was presented with urinary incontinence. Abdominal ultrasound revealed the presence of hyperechoic linear structures within the cranial vagina suggestive of foreign material. A computed tomography (CT) retrograde vaginourethrogram demonstrated the presence of a fistulous tract between the urethra and vagina. A presumptive diagnosis of urethrovaginal fistula due to migration of foreign material was made. The grass awn was removed with vaginoscopic‐guided retrieval. Fourteen days later, surgical repair of the fistula and an ovariohysterectomy were done. This case report emphasizes the usefulness of CT for diagnosis and precise anatomical localization of genitourinary tract fistulas.     

血液透析患者动静脉内瘘血栓形成的治疗方法探讨

目的总结血液透析患者动静脉内瘘后血栓形成的治疗经验。方法 156例动静脉内瘘后血栓形成患者,早期采用溶栓治疗,而晚期采用手术治疗。结果 47例采用溶栓治疗,成功率为53.2%,其中6h内、6h后溶栓成功率分别为85.7%、26.9%(P<0.01)。131例(含溶栓失败22例)手术治疗者中,成功率为84.7%,其中静脉-动脉端侧吻合、取栓加吻合口扩张的成功率分别为94.2%、48.1%(P<0.01)。结论动静脉内瘘后血栓形成患者在阻塞6h内采用溶栓治疗,而阻塞超过72h者首选静脉-动脉端侧吻合手术。     

高山草原绵羊放牧生态及消化代谢的研究：Ⅰ放牧绵羊嗜食性研究

利用植物显微技术镜检法和食道瘘管法对放牧绵羊采食的高山草原植物成分与嗜食性指数进行分析。结果表明，绵羊在黄草期采食植物成分比青草期多，其嗜食性指数在不同时期变幅较大，随着冬季来临，绵羊对草地植物的嗜食性不如青草期强烈，至某些植物嗜食性是相对稳定的。     

MULTIDETECTOR‐ROW COMPUTED TOMOGRAPHY PATTERNS OF BRONCHOESPHAGEAL ARTERY HYPERTROPHY AND SYSTEMIC‐TO‐PULMONARY FISTULA IN DOGS

Anomalies involving arterial branches in the lungs are one of the causes of hemoptysis in humans and dogs. Congenital and acquired patterns of bronchoesophageal artery hypertrophy have been reported in humans based on CT characteristics. The purpose of this retrospective study was to describe clinical, echocardiographic, and multidetector computed tomography features of bronchoesophageal artery hypertrophy and systemic‐to‐pulmonary arterial communications in a sample of 14 dogs. Two main vascular patterns were identified in dogs that resembled congenital and acquired conditions reported in humans. Pattern 1 appeared as an aberrant origin of the right bronchoesophageal artery, normal origin of the left one, and enlargement of both the bronchial and esophageal branches that formed a dense network terminating in a pulmonary artery through an orifice. Pattern 2 appeared as a normal origin of both right and left bronchoesophageal arteries, with an enlarged and tortuous course along the bronchi to the periphery of the lung, where they communicated with subsegmental pulmonary arteries. Dogs having Pattern 1 also had paraesophageal and esophageal varices, with the latter being confirmed by videoendoscopy examination. Authors conclude that dogs with Pattern 1 should be differentiated from dogs with other congenital vascular systemic‐to‐pulmonary connections. Dogs having Pattern 2 should be evaluated for underlying pleural or pulmonary diseases. Bronchoesophageal artery hypertrophy can be accompanied by esophageal venous engorgement and should be included in the differential diagnosis for esophageal and paraesophageal varices in dogs.     

Evaluation of Cassia fistula meal as a replacement for soybean meal in practical diets of Oreochromis niloticus fingerlings

This study was undertaken to determine the replacement value of Cassia fistula seed meal (CFM) for soybean meal (SBM) in practical diets of Oreochromis niloticus fingerlings. Five practical diets (350 g kg^?1 crude protein) containing 0 g kg^?1 (control), 170 g kg^?1 (diet II), 340 g kg^?1 (diet III), 509 g kg^?1 (diet IV) and 670 g kg^?1 (diet V) substitution levels of CFM for SBM were formulated and fed to triplicate groups of O. niloticus fingerlings (mean initial weight of 10.22 ± 0.03 g) for 70 days. Fish mortality increased linearly with increase in inclusion levels of CFM in the diet. Growth and diet utilization efficiency were depressed in fish fed diets containing CFM at varying inclusion levels. Feed conversion ratio, specific growth rate and protein efficiency ratio of O. niloticus fed on diet containing 170 g kg^?1 substitution level of CFM were similar (P > 0.05) to the control diet. Digestibility of the different diets decreased with increase in inclusion levels of CFM. Fish fed diet containing 670 g kg^?1 CFM had significantly lower carcass protein. However, no significant differences were observed in carcass protein and lipid contents between fish fed the control diets and diet containing 170 g kg^?1 CFM. The most efficient diet in terms of cost per unit weight gain of fish was obtained in 170 g kg^?1 CFM dietary substitution.     

牛胆囊造瘘引流手术研究

本试验旨在摸索胆囊瘘管的造型选材及安装方法，谋求延长瘘管存放时间，并引流出量多质好的胆汁，为胆红素的提取开辟胆源，以满足中成药生产对胆红素的需求。选黄牛６头，用不同的手术安装方法分别安装了３种瘘管，观察了２２天胆汁流量情况及瘘管存放情况。确定了胆囊引流术的较好方法及瘘管的较好造型－Ｃ组。     

食道瘘管法在放牧家畜采食习性研究中的运用

本文介绍了目前广泛运用于草地放牧研究中的食道瘘管法的发展、食道瘘管手术及护理、食道瘘管样的制取、食道瘘管样品用于放牧家畜采食的营养成分、植物成分、采食量和消化率方面的测定，以及与其它常用的方法——放牧前后样方测定法、扣笼与未扣笼双样方法和模拟家畜采食采摘法对放牧家畜采食的营养成分、植物成分、采食量和消化率测定的比较，认为代表放牧家畜真实采食日粮的食道疹管样在以上各项指标的测定中都优于其它测定方法所得到的样品，更能代表放牧家畜的实际采食习性。     

绵羊食道瘘管法和人工模拟法采集的草地牧草营养成分动态的比较研究

高山草原 7、8、10月和 1月放牧绵羊食道瘘管牧草样品和人工模拟采集牧草样品无论在粗蛋白质、粗纤维、粗灰分含量 ,还是干物质消化率方面 ,2种方法所采集牧草营养成分存在较大差异。具体表现为食道瘘管样品粗蛋白质和粗灰分含量高于人工模拟样品 ,二者最大差值分别为 6 .2 2 %和11.18% ,而粗纤维含量则低于人工模拟样品 ,最大差值为 4 .80 % ,2种方法采集牧草干物质消化率食道瘘管样也高于人工模拟样 ,二者最大差值为 7.74 %。试验表明 ,人工模拟法采集牧草样本尤其在本区黄草期 (10月 )不能真正代表放牧绵羊实际食入的牧草营养成分 ,但是在草地枯草期的 1月、二者的差值有减少的趋势。在本区放牧生态研究中牧草采样应以食道瘘管法为首选。     

The effects of continuous and rotational grazing of sourveld on the quality of herbage selected by Simmentaler heifers

A grazing trial was conducted at the Kokstad Agricultural Station to compare the dry matter digestibility (DMD) and crude protein content (CP) of diets selected by four fistulated cattle which were continuously and rotationally grazing sourveld. Two stocking rates of 1,0 and 2,3 animals/ha (0,5 and 1,2 LSU/ha) were applied under each grazing method. The mean DMD and CP values of diets selected in the continuous and rotational grazing treatments, respectively, were: DMD=64,3%, 62,3%; CP=6,63%, 6,88%. The effect of stocking rate on the quality of the diet selected varied between the two grazing methods. DMD and CP of diets selected under rotational grazing decreased with time during the week‐long period of stay in each paddock. On average, DMD and CP values on the first and sixth day respectively, were: DMD=66,6%, 60,5%; CP=8,37%, 6,01%. These differences were more pronounced at the higher than at the lower stocking rate. It was concluded that, although some of the treatment differences were small, grazing method differences in the DMD of diets might at least partially account for observed differences in livemass gains under the two grazing systems.