Stephen Jennifer O, Corley Kevin T T, Johnston Janet K, Pfeiffer Dirk
New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA, USA.
Vet Surg. 2004 Jul-Aug;33(4):333-9. doi: 10.1111/j.1532-950X.2004.04048.x.
To evaluate the historical data, signalment, clinical signs, results of laboratory analyses, treatment, and outcome of horses with small intestinal (SI) volvulus.
Retrospective study.
One hundred and fifteen client-owned horses, aged 1 month to 21 years.
Clinical signs, laboratory data, surgical or necropsy findings, and outcome for horses with SI volvulus were obtained from medical records, identified by computer search and manual review.
There was no statistical difference in signalment between cases and the hospital population. Seventy-four percent of horses were >/=3 years. There were considerable variations in clinical signs on admission; high heart rate and signs of severe pain were not consistent features. Examination per rectum identified distended small intestine in only 69% of horses. One hundred horses had surgery, and small intestine resection was performed in 25. Eighty-four horses were recovered from surgery, and 67 horses survived to hospital discharge (80% of horses recovered from surgery, 58% of 115 horses). Forty-eight percent that were ultimately discharged had a post-operative complication and these horses had a longer average stay than horses with no complication (11 days versus 8.9 days).
We identified 115 horses with primary SI volvulus over a 12-year period. We found that the population of horses with this lesion was older than has previously been reported and that the prognosis for post-operative survival to hospital discharge is good (80%). Post-operative complications were common, and affected approximately half the horses that were ultimately discharged from the hospital.
This information may aid diagnosis and prognosis and guide decision making for horses with this condition.
评估患有小肠扭转的马匹的历史数据、特征、临床症状、实验室分析结果、治疗情况及预后。
回顾性研究。
115匹客户拥有的马匹，年龄从1个月至21岁。
通过计算机检索和人工查阅病历，获取患有小肠扭转马匹的临床症状、实验室数据、手术或尸检结果及预后情况。
病例组与医院总体马匹群体在特征方面无统计学差异。74%的马匹年龄≥3岁。入院时临床症状差异较大；高心率和剧烈疼痛症状并非一致特征。直肠检查仅在69%的马匹中发现小肠扩张。100匹马接受了手术，其中25匹进行了小肠切除。84匹马术后康复，67匹马存活至出院（84匹术后康复的马匹占手术马匹的80%，67匹存活至出院的马匹占115匹总马匹数的58%）。最终出院的马匹中有48%出现术后并发症，这些马匹的平均住院时间比无并发症的马匹更长（11天对8.9天）。
在12年期间，我们识别出115匹原发性小肠扭转的马匹。我们发现患有这种病变的马匹群体比先前报道的年龄更大，且术后存活至出院的预后良好（80%）。术后并发症很常见，约影响了最终出院马匹的一半。
这些信息可能有助于对此类病症马匹的诊断和预后评估，并指导决策。
