中西结合治疗大家畜破伤风

破伤风是家畜一种常见而且较为难治的传染病.本病呈散发性,常因去势之后消毒不严或跌伤、役具损伤、创口污秽不洁,感染破伤风杆菌引起.笔者在临床中采用中西结合共收治大家畜破伤风9例,其中马3例、骡5例、驴1例,效果显著.     

Effect of intravenous calcium and oral sodium phosphate in cows with parturient paresis

The goal of this study was to determine whether oral administration of sodium phosphate in conjunction with intravenous calcium is more efficaceous than intravenous calcium alone for the treatment of parturient paresis. Thirty cows with parturient paresis were examined and treated by the same veterinarian. The cows were divided randomly into two groups of 15 cows each. Cows in group A received 500 ml of a 40 per cent calcium borogluconate solution containing 15.65 g calcium gluconate and borogluconate, with a supplement of 6 per cent magnesium hypophosphite (9.85 g magnesium hypophosphite) intravenously over a period of approximately 15 min. Cows in group B received the same treatment as well as 350 g of monobasic sodium phosphate (70 g inorganic phosphate, NaH2PO4 2 H2O, Streuli) dissolved in 0.5 litres of distilled water orally via a stomach tube. After treatment, the heart rate, respiratory rate, rectal temperature, superficial body temperature, rumen motility, appetite and defecation of the cows were monitored every hour for eight h. The cows' attempts to rise and their ability to stand were also noted. Initially, the results of clinical examination and serum electrolyte analyses did not differ between the two groups of cows.Within one hour of treatment, stupor was not observed in any of the cows. The general demeanour after treatment did not differ significantly between the two groups. In both groups, the average rectal temperature increased within two hours of the initiation of treatment, from 38.0 +/- 0.95 degrees C to 38.5 +/- 0.40 degrees C. There was no significant difference in the recovery rate between the groups. Of the 30 cows, 22 (73.3 per cent) stood within eight hours of treatment (10 cows from group A and 12 cows from group B). The type of treatment did not affect the time required to stand: cows in group A stood within 47.3 +/- 44 minutes and cows in group B stood within 24.2 +/- 32 minutes after the start of treatment. Our findings do not support the hypothesis that oral treatment with 350 g of sodium phosphate together with intravenous infusion of calcium in cows with parturient paresis results in an improved outcome, even though all the cows had hypophosphataemia as well as hypocalcaemia.     

Studies on parturient paresis in dairy cows. V. On the composition and calcium binding capacity of two bovine serum protein fractions, with special regard to parturient paresis

In healthy cows unaffected by imminent or recent calving the protein in serum can directly bind the overwhelming proportion of the bound calcium. In recent calvers this capacity is considerably less. When adding ammonium sulphate to blood serum to 62 % of total saturation a protein fraction precipitates which is mainly albumin. This fraction has a far greater calcium binding capacity than the soluble fraction, which contains most of the serum globulin, and the lowering of this capacity after calving is entirely referable to the former fraction. No difference has been found in these respects between normal cows after calving and cows with parturient paresis.An analysis of 10 amino acids in the two protein fractions described above showed that the amino acid composition of both exhibits differences between recent calvers and cows outside the calving period, and likewise that each of the two fractions differs in composition between healthy cows after calving and cows with parturient paresis.     

奶牛产后瘫痪的综合疗法及病因浅析

奶牛产后瘫痪是母牛分娩后突然发生的一种营养代谢性疾病 ,以昏睡和四肢瘫痪为主要特征。常发生于产后 3ｄ内 ,少数发生于分娩过程中或产前。以 3～ 6胎 ( 5～ 9岁 )的高产奶牛最易发生。如治疗不及时 ,多数会因虚脱、瘤胃臌气或吸入性肺炎造成窒息而死亡。本病在奶牛较集中的吴忠市利通区比较多见。根据笔者近 6年来 89例的治疗资料统计 ,产后瘫痪病例占临床病例的8 3%。笔者近年来先后采用以单纯补钙为主的补钙疗法 (以下简称补钙疗法 )和先行乳房送风后以补钙、磷、镁、钾为主的综合疗法(以下简称综合疗法 )治疗该病 ,综合疗法获得了较好…     

Efficacy of oral calcium and/or sodium phosphate in the prevention of parturient paresis in cows

The goal of this study was to investigate the efficacy of calcium chloride, sodium phosphate or a combination of these two substances administered orally immediately postpartum for the prevention of parturient paresis in cows. Thirty-two cows that had had parturient paresis at the previous calving, and in which serum biochemistry had shown hypocalcaemia and hypophosphataemia, were used in the study. The cows were transferred to the Department of Farm Animals, University of Zurich, five days before their expected due dates. On a randomized trial, the cows were given calcium chloride, sodium phosphate, both substances or no treatment (controls) via a stomach tube immediately postpartum and 12 hours later. The cows were monitored for 96 hours during which time blood was collected on a regular basis for the determination of total calcium, ionized calcium, inorganic phosphorus and magnesium concentrations. Of the 32 cows treated, 19 (59%) had parturient paresis and 13 (41%) did not. The incidence of parturient paresis did not differ significantly among the groups although there was a tendency for a lower incidence in cows treated with both calcium chloride and sodium phosphate. The various treatments had no apparent effect on serum calcium concentration. The concentration of inorganic phosphorus increased significantly in cows treated with sodium phosphate compared with the controls. The results of this study showed that cows treated with both calcium chloride and sodium phosphate orally tended to have a lower incidence of parturient paresis. Further investigation into multiple administrations of oral calcium chloride and sodium phosphate, started before parturition, for the prevention of parturient paresis is required.     

Studies on parturient paresis with special reference to the Downer cow syndrome

In addition to the classic form of parturient paresis characterized by hypocalcemia and somnolence, which responds rapidly to calcium therapy, it is not unusual to encounter other forms of this disease. The most common aberration would seem to be that in which the animals do not rise after calcium treatment. Many of these cows show little or no drowsiness, their appetite is often good, and the results of a clinical examination often negative. Some authors, Blood & Henderson (1960) for instance, consider that this “downer cow syndrome” is an indépendant disease not connected wiht milk fever.Although the downer cow syndrome is a common disease and is of considerable significance, remarkably little has been written about it. Garm in 1950 noted that the frequency of downers had increased as compared with the numbers registered a few years earlier. He had also noticed that in many of these cows hypocalcemia was present on the first day of illness but not on subsequent days, despite the fact that they had marked signs of milk fever. Osinga, in an investigation in 1963, compared two types of milk fever: a typical form in which the cow is drowsy, lies on her side, and has partial anorexia, and an atypical form in which the animal is alert and has normal or only slight loss of appetite. Osinga remarked that the atypical cases had in-creased in number and suggested as an explanation the fact that the amount of protein in the fodder has increased, with the result that auto-intoxication and damage to parenchymatous organs may occur.The object of the present investigation was to study the difference between cows that recover after treatment (“uncomplicated milk fever”) and those that have not risen 24 hrs. after the first treatment (“downers”). We also wanted to ascertain whether any changes occurred in the downers between the first and second, and second and third days. In addition, the difference between cows with blood-calcium levels equivalent to or over 8.0 mg/100 ml serum and those with corresponding values under 8.0 mg at the first examination was also studied.     

The role of dietary calcium concentration in the use of anionic salts to prevent parturient paresis in dairy cows

The role of dietary calcium concentration during the feeding of anionic salts (AS) was reviewed. Hypocalcaemia is still the major cause of parturient paresis in dairy cows. Feeding AS is an established method for preventing severe hypocalcaemia by activating the calcium metabolism in the last two to three weeks before parturition by inducing a metabolic acidosis. In compensation for this acidosis, the organism increases the concentrations of ionised Ca [Ca2+] in the blood. This increase leads to an increasing excretion of calcium via the urine, which is ensued by an increased calcium absorption in the intestine. The ongoing metabolic acidosis changed the flux of Ca. The size of the Ca pool, however, remained unchanged. As the calcium metabolism is activated by AS, it seems necessary to increase the amount of calcium that is fed to the cows. Several studies examined the impact of different dietary calcium concentrations on the acid-base balance and the calcium metabolism in cows fed anionic salts. The study designs vary concerning the amounts of calcium fed and the use of pregnant or non-pregnant cows. Only one study combined the feeding of AS with a very low amount of calcium, which fell below the daily requirements of pregnant cows in the last three weeks before parturition. In this study, the calcium balance post partum was better in the cows that were administered AS and a high calcium diet. In the other studies, the amount of calcium in the different experimental groups and the difference between the amounts of calcium fed varied greatly. As far as it was monitored in the studies, the calcium concentration of the diet did not have a significant impact on the degree of acidosis induced by AS. In pregnant cows, no significant differences in the calcium concentration in serum or urine occurred before parturition. Some of the researchers found a lower incidence of parturient paresis when cows were fed a combination of AS and a higher amount of calcium, but some other researches did not. Interestingly, the parameters of bone metabolism did not change between experimental groups. According to what is currently known, the feeding of AS to transition cows should not be combined with a dietary calcium concentration that falls below the requirement of cows in this stage of lactation. On the other hand, there is no need to increase the Ca concentration. When AS are used the dietary calcium concentration should be between 9 g and 12 g/kg dry matter. Further research is needed to investigate the role of dietary calcium regarding the use of AS for improving Ca metabolism in dairy cows around parturition.