Salem S E, Proudman C J, Archer D C
Department of Surgery, Faculty of Veterinary Medicine, Zagazig University, Zagazig, Egypt.
Faculty of Health and Medical Sciences, School of Veterinary Medicine, Guildford, Surrey, UK.
Equine Vet J. 2016 Mar;48(2):143-51. doi: 10.1111/evj.12517. Epub 2015 Nov 6.
Changes in management of the surgical colic patient over the last 30 years have resulted in considerable improvement in post operative survival rates. However, post operative complications remain common and these impact negatively on horse welfare, probability of survival, return to previous use and the costs of treatment. Multiple studies have investigated risk factors for post operative complications following surgical management of colic and interventions that might be effective in reducing the likelihood of these occurring. The findings from these studies are frequently contradictory and the evidence for many interventions is lacking or inconclusive. This review discusses the current available evidence and identifies areas where further studies are necessary and factors that should be taken into consideration in study design.
在过去30年里，外科急腹症患者的管理方式发生了变化，术后存活率有了显著提高。然而，术后并发症仍然很常见，这些并发症对马匹的健康、存活概率、恢复到以前的使用状态以及治疗成本都有负面影响。多项研究调查了急腹症手术治疗后术后并发症的风险因素以及可能有效降低这些并发症发生可能性的干预措施。这些研究的结果常常相互矛盾，许多干预措施的证据不足或尚无定论。本综述讨论了当前可用的证据，并确定了需要进一步研究的领域以及在研究设计中应考虑的因素。
