Tabar Juan J, Cruz Antonio M
Department of Clinical Studies, Veterinary Teaching Hospital, Ontario Veterinary College, University of Guelph, Guelph, Ontario.
Can Vet J. 2009 Jan;50(1):65-70.
The objective of this study was to identify risk factors and describe clinical signs in 7 foals with cecal rupture; none of the foals survived. Six foals had undergone general anesthesia; 5 for orthopedic procedures. Six of the foals were receiving nonsteriod anti-inflammatory drugs. Most foals started showing colic signs on day 2 after surgery, preceded in 3 cases by dullness. Cecal rupture occurred between 4 hours and 2 days after the first signs of colic were noticed. Intestinal motility was decreased or absent in all foals for which it was recorded.Foals undergoing general anesthesia should be closely monitored for any sign of dullness, prolonged recumbency, reduced fecal output, and signs of abdominal discomfort for 3 days postoperatively, especially in cases following orthopedic surgery. If any of the above occurs, cecal impaction should be considered as a differential diagnosis. A prompt exploratory laparotomy may be a reasonable diagnostic option before the cecum ruptures with fatal consequences.
本研究的目的是确定7匹发生盲肠破裂的马驹的危险因素并描述其临床体征；这些马驹无一存活。6匹马驹接受了全身麻醉；其中5匹是为了进行骨科手术。6匹马驹正在使用非甾体抗炎药。大多数马驹在术后第2天开始出现绞痛症状，3例在出现绞痛症状前有精神沉郁。盲肠破裂发生在首次发现绞痛症状后的4小时至2天之间。所有记录了肠蠕动情况的马驹，其肠蠕动均减弱或消失。接受全身麻醉的马驹术后3天应密切监测是否有精神沉郁、长时间躺卧、粪便排出量减少及腹部不适等症状，尤其是在骨科手术后的病例中。如果出现上述任何一种情况，应考虑盲肠阻塞作为鉴别诊断。在盲肠破裂导致致命后果之前，及时进行剖腹探查术可能是一种合理的诊断选择。
