A case of oviduct obstruction was misdiagnosed as enteritis and flu
Abdominal obstruction is the accumulation of excessive food in the abomasum, which causes the stomach wall to expand, increase in volume, and inflammation of the gastric mucosa and stomach wall. Food can not be discharged into the intestine. Clinical features are pre-stomach delay and gastrointestinal motility. The abdomen is enlarged, and the impact or palpation on the right lower abdomen can feel a hard abomasum, and there is pain, and the disease does not defecate until late in the disease. The medical record introduction On January 20, 2007, a sheep farmer held a month old and weighed about 25 pounds to feed a lamb. One or two days before the chief complaint, the sheep drained stool and he thought that the sheep had contracted enteritis. He went to the clinic I opened and bought a box of gentamicin sulfate needles. Each time the diseased sheep was given orally, twice a day. The sheep was not diarrhea, but the condition was worse: a bad spirit, no milk, and no snoring. I personally checked: The disease sheep nose, dry eyelids, slightly conjunctiva, conjunctiva slightly white, heart rate 120 beats / min, thick lungs, breathing about 35 times per minute, gastrointestinal tone is very weak, and there are continuous teeth. He opened the mouth and found that the gums of the three incisors had bitten out of the blood and trembled and disturbed. The body temperature was measured at 40.2°C. The first diagnosis was a cold. One 1.6 million units of penicillin potassium, one million units of streptomycin, 5 ml of aminopyrine, and 5 mg of dexamethasone were intramuscularly injected. The following morning, they were found: Temperature 39 °C, heart rate and respiratory rate, gastrointestinal tone, molars, trembling and other symptoms are the same yesterday, still no desire to eat, do not have defecation. After careful analysis and analysis, it was found that the rumen of the sheep was slightly swollen, auscultation was buzzing, and the right lower abdomen was touched by a wrinkled stomach that was not normally touched. The obstruction of the abdomen was diagnosed by combining the above symptoms. Immediately: 1.10% calcium chloride. 5ml, 10% sodium chloride 50ml, 5% glucose saline 150ml mixed once intravenous injection; 2. Competition can be 1.5ml subcutaneous injection of spirit, and with wrinkled stomach press, and the owner of the animal to let more water, add a small amount of chlorinated water Sodium, sodium bicarbonate. In order to prevent concurrent infections, another intramuscular injection of 0.1g chloramphenicol needle 4 to the morning of the next morning found: body temperature 39 °C, heart rate, respiratory rate is normal, the spirit was markedly improved, the body no longer tremble, bruxism disappeared, gastrointestinal tone Return to normal and begin to eat a small amount of milk. After recovering from the hospital, the owner of the animal was refrained from drinking milk, providing warm drinking water. Morbidity analysis and discussion The owner of the sheep superficial understanding of sheep disease, see diarrhea on the treatment of intestinal inflammation; I personal carelessness, pull out the temperature table to see the body temperature of 40.2 °C think that it was got a cold disease, are not from the surface phenomenon into Essence to explore and draw conclusions. From the diseased sheep's hernia, hernia, rump swelling, molars and gums bleeding and other diseases have long been thought to be caused by gastrointestinal pain, if carefully examined will not be difficult to diagnose. Correct diagnosis of the main points of the disease development is relatively slow, early symptoms like pre-gastric delay, sick sheep loss of appetite, defecation was initially diarrhea, and soon reduced fecal or stop row and dry, and some with a small amount of blood in the fecal surface, right Abdominal crumpled stomach area is enlarged, the rumen is filled with liquid and a small amount of gas, and the hard corrugated body can be felt in the impacted wrinkle area. Both the initial symptoms and the gastric obstruction were similar to the pre-gastric retardation. The obstructed sheep had a small amount of dry feces at the beginning of the valve obstruction. Afterwards, the defecation was stopped, the valve area was sensitive, and the valve area was enlarged and hard. the difference. The treatment of the disease in addition to timely infusion, intramuscular injection of drugs excited gastrointestinal motility, it is best to use 25% magnesium sulfate 20ml, glycerol 10ml, 0.9% sodium chloride solution 40ml mixed abomasum injection, and use paraffin oil 20ml, hydrated chlorine Aldehyde 1g, compound tangerine peel 3ml, 3g enzyme mixture 5g warm water 20ml once orally. If the condition is serious, and after the above treatment is still not effective, surgical treatment should be performed immediately to avoid losing the best treatment opportunity.
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