Rhoads W S, Barton M H, Parks A H
College of Veterinary Medicine, University of Georgia, Athens 30602-7391, USA.
J Am Vet Med Assoc. 1999 Apr 1;214(7):1042-7.
To characterize clinical findings and compare effects of treatment and outcome for horses treated medically or surgically for impaction of the small colon.
Retrospective study.
84 horses with impaction of the small colon.
Medical records were reviewed for history, physical examination findings, laboratory values, treatment, response to treatment, complications, out-come, and necropsy findings.
47 horses were treated medically and 37 horses were treated surgically. Significant differences between groups were not identified for duration of clinical signs, physical examination findings, or laboratory values. Horses treated surgically were hospitalized longer than horses treated medically. Complications recorded during hospitalization included diarrhea, jugular thrombophlebitis, recurrent colic, fever, and laminitis. Salmonella organisms were isolated from 20 horses. Horses treated surgically were more likely to have signs of moderate abdominal pain, gross abdominal distention, and positive results for culture of Salmonella spp than horses treated medically. Follow-up information was available for 27 horses treated medically and 23 horses treated surgically. Twenty-four (72%) and 21 (75%) of the horses, respectively, survived and were being used for their intended purpose at least 1 year after treatment.
Colitis may be a predisposing factor for impaction of the small colon in horses. Prognosis for horses treated surgically or medically is fair.
描述临床症状，并比较内科治疗或外科治疗对患有小结肠阻塞马匹的治疗效果及预后情况。
回顾性研究。
84匹患有小结肠阻塞的马。
查阅病历，了解病史、体格检查结果、实验室检查值、治疗方法、对治疗的反应、并发症、预后及尸检结果。
47匹马接受内科治疗，37匹马接受外科治疗。两组在临床症状持续时间、体格检查结果或实验室检查值方面未发现显著差异。接受外科治疗的马住院时间比接受内科治疗的马长。住院期间记录的并发症包括腹泻、颈静脉血栓性静脉炎、复发性绞痛、发热和蹄叶炎。从20匹马中分离出沙门氏菌。与接受内科治疗的马相比，接受外科治疗的马更有可能出现中度腹痛、明显腹胀以及沙门氏菌培养阳性结果。有27匹接受内科治疗的马和23匹接受外科治疗的马有随访信息。分别有24匹（72%）和21匹（75%）的马存活下来，并在治疗后至少1年用于其预期用途。
结肠炎可能是马匹小结肠阻塞的一个诱发因素。接受外科治疗或内科治疗的马预后一般。
