Meagher Daniel T, Latimer Federico G, Sutter W Wes, Saville William J A
Department of Veterinary Clinical Science, College of Veterinary Medicine, The Ohio State University, Columbus, OH 43210, USA.
J Am Vet Med Assoc. 2006 Jun 15;228(12):1930-4. doi: 10.2460/javma.228.12.1930.
OBJECTIVE-To determine clinical findings and outcome in horses treated by means of a balloon constant rate infusion system. DESIGN-Retrospective case series. ANIMALS-23 horses. PROCEDURES-Medical records of horses examined at The Ohio State University veterinary teaching hospital from 2002 to 2005 that had septic arthritis, septic tenosynovitis, or penetration of a synovial structure and in which treatment involved a balloon constant rate infusion system were searched. Information pertaining to signalment, history, physical examination findings, clinicopathologic data, treatment, and duration of hospitalization was recorded. RESULTS-Mean+/- SD duration of hospitalization was 11.5+/-5.26 days. No correlation between duration of clinical signs and duration of hospitalization or duration of infusion pump use was detected, but correlations between WBC count and duration of hospitalization and WBC and duration of infusion-pump use were observed. All horses survived to discharge. Follow-up information was obtained on 17 horses, 16 of which were alive at the time of follow-up. Twelve of 13 horses for which followup information was available for at least 5 months were alive 5 months or longer after discharge. Thirteen of the 16 horses alive at follow-up were reported by owners as not lame, whereas the remaining 3 were mildly lame or intermittently moderately lame or had developed angular limb deformity in the contralateral limb. CONCLUSIONS AND CLINICAL RELEVANCE-Balloon constant rate infusion systems may be used effectively in treatment of septic arthritis, septic tenosynovitis, and contaminated synovial wounds. Clinical response and long-term outcome appeared to be comparable to results obtained with other techniques.
目的——确定采用球囊恒速输注系统治疗的马匹的临床症状及预后情况。
设计——回顾性病例系列研究。
动物——23匹马。
方法——检索俄亥俄州立大学兽医学院教学医院2002年至2005年期间收治的患化脓性关节炎、化脓性腱鞘炎或滑膜结构穿透伤且治疗中使用球囊恒速输注系统的马匹的病历。记录有关信号、病史、体格检查结果、临床病理数据、治疗情况及住院时间的信息。
结果——平均住院时间为11.5±5.26天。未检测到临床症状持续时间与住院时间或输液泵使用时间之间存在相关性，但观察到白细胞计数与住院时间以及白细胞与输液泵使用时间之间存在相关性。所有马匹均存活出院。对17匹马进行了随访，其中16匹在随访时存活。在有至少5个月随访信息的13匹马中，12匹在出院后5个月或更长时间仍存活。随访时存活的16匹马中，13匹经主人报告无跛行，其余3匹有轻度跛行或间歇性中度跛行，或对侧肢体出现了关节畸形。
结论及临床意义——球囊恒速输注系统可有效用于治疗化脓性关节炎、化脓性腱鞘炎及污染的滑膜伤口。临床反应及长期预后似乎与其他技术所获结果相当。
