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老年马与成熟非老年马结肠手术后的短期并发症

Short-term complications after colic surgery in geriatric versus mature non-geriatric horses.

作者信息

Gazzerro Deanna M, Southwood Louise L, Lindborg Sue

机构信息

Department of Clinical Studies, New Bolton Center, University of Pennsylvania, Kennett Square, Pennsylvania.

出版信息

Vet Surg. 2015 Feb;44(2):256-64. doi: 10.1111/j.1532-950X.2014.12281.x. Epub 2014 Oct 7.

DOI:10.1111/j.1532-950X.2014.12281.x
PMID:25289944
Abstract

OBJECTIVE

To compare in geriatric and mature horses the occurrence of short-term complications and short-term outcome associated with complications after colic surgery.

STUDY DESIGN

Retrospective case-control study.

SAMPLE POPULATION

Horses aged ≥20 years (geriatric, n = 78) and 4-15 years (mature non-geriatric, n = 156) that had exploratory celiotomy for colic and survived recovery from general anesthesia.

METHODS

Medical records (2000-2010) of horses that recovered from general anesthesia after colic surgery were reviewed. Postoperative complications evaluated included postoperative reflux (POR), diarrhea, inappetence, fever, leukopenia, incisional infection, incisional dehiscence, thrombophlebitis, colic, repeat celiotomy, pneumonia, and laminitis. Short-term outcome (alive vs. dead at hospital discharge) of geriatric and mature horses with these complications were compared. Data were analyzed using a χ(2) or Fisher's exact test or an ANOVA. Level of significance P < .05.

RESULTS

Geriatric horses had higher odds of having a small intestinal strangulating lesion than mature horses. A higher proportion of geriatric horses had POR and inappetence; however, there was no difference in the proportion of geriatric and mature horses with small intestinal strangulating lesions having POR. Short-term outcome with and without complications was similar between the 2 age groups.

CONCLUSION

Geriatric and mature horses have similar occurrences of short-term complications and short-term outcomes associated with complications after colic surgery.

摘要

目的

比较老年马和成年马结肠手术后短期并发症的发生率以及与并发症相关的短期预后情况。

研究设计

回顾性病例对照研究。

样本群体

年龄≥20岁的马(老年马,n = 78)和4 - 15岁的马(成年非老年马,n = 156),这些马因腹痛接受了剖腹探查术并从全身麻醉中恢复过来。

方法

回顾了2000年至2010年腹痛手术后从全身麻醉中恢复的马的病历。评估的术后并发症包括术后反流(POR)、腹泻、食欲不振、发热、白细胞减少、切口感染、切口裂开、血栓性静脉炎、腹痛、再次剖腹术、肺炎和蹄叶炎。比较了出现这些并发症的老年马和成年马的短期预后(出院时存活与死亡)。数据采用χ²检验、Fisher精确检验或方差分析进行分析。显著性水平P < 0.05。

结果

老年马发生小肠绞窄性病变的几率高于成年马。老年马出现POR和食欲不振的比例更高;然而,有小肠绞窄性病变的老年马和成年马发生POR的比例没有差异。两个年龄组有无并发症的短期预后相似。

结论

老年马和成年马结肠手术后短期并发症的发生率以及与并发症相关的短期预后情况相似。

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