@article{oai:obihiro.repo.nii.ac.jp:00004355,
 author = {大島, 徹治 and 堀内, 雅之 and 古林, 与志安 and 猪熊, 壽},
 issue = {12},
 journal = {日本獣医師会雑誌},
 month = {},
 note = {application/pdf, 食欲不振を主訴に受診した3歳5カ齢のホルスタイン種乳牛が，下顎と胸垂の浮腫，頸静脈怒張，泥状下痢を呈したため創傷性心膜炎を疑った．心臓超音波検査により多量の心嚢水の貯留が確認されたが，フィブリン析出はみられなかった．心嚢水は赤色血様であったが腫瘍細胞はみられなかった．血液及び生化学検査では強い炎症像はみられなかった．第20病日に心膜穿刺により心嚢水5リットルを除去したところ，翌日以降，浮腫の軽減，腹水・胸水・心嚢水の減少とともに，一般状態が改善した．しかし，その後症例には聴診及び心臓超音波検査所見から心室中隔欠損が確認されたため，第29病日に病理解剖を行った．病理解剖では，血様心嚢水の由来となる病変は認められず，特発性心嚢血腫と診断された．心膜穿刺による心嚢水除去は本症の治療の選択肢になり得ると考えられた．, A 41-month-old Holstein cow with the chief complaint of anorexia exhibited edema of the lower jaw and dewlap, jugular venous engorgement and diarrhea, therefore traumatic pericarditis was suspected. Echocardiography revealed an increased amount of pericardial fluid without fibrin deposition and compression of the hear t. Pericardial fluid was blood-like, and cytology findings ruled out neoplastic disease. Blood and blood-chemical examination did not suggest strong inflammation. After removing 5 l of pericardial fluid using pericardiocentesis, the general condition of the patient rapidly improved with a decrease of edema, ascites, pleural ef fusion and pericardial fluid. As a ventricular septal defect was found by auscultation and echocardiography, the cow was euthanized on Day 29. No lesions related to blood-like pericardial effusion were found by necropsy, thus the diagnosis was idiopathic hemorrhagic pericardial ef fusion. Pericardiocentesis is thought to be a treatment option for idiopathic hemorrhagic pericardial effusion in cattle.},
 pages = {787--791},
 title = {心膜穿刺により症状が改善した特発性心囊血腫のホルスタイン種乳牛の1症例},
 volume = {70},
 year = {2017}
}