Burke Megan, Blikslager Anthony
NC State Veterinary Hospital, North Carolina State University, 1060 William Moore Drive, Raleigh, NC 27607, USA.
NC State Veterinary Hospital, North Carolina State University, 1060 William Moore Drive, Raleigh, NC 27607, USA.
Vet Clin North Am Equine Pract. 2018 Apr;34(1):81-96. doi: 10.1016/j.cveq.2017.11.006. Epub 2018 Feb 3.
Differentiating between medical and surgical causes of colic is one of the primary goals of the colic workup, because early surgical intervention improves prognosis in horses requiring surgery. Despite the increasing availability of advanced diagnostics (hematologic analyses, abdominal ultrasound imaging, etc), the most accurate indicators of the need for surgery remain the presence of moderate to severe signs of abdominal pain, recurrence of pain after appropriate analgesic therapy, and the absence of intestinal borborygmi. Investigation of novel biomarkers, which may help to differentiate surgical lesions from those that can be managed medically, continues to be an active area of research.
区分绞痛的内科病因和外科病因是绞痛检查的主要目标之一，因为早期手术干预可改善需要手术治疗马匹的预后。尽管先进诊断方法（血液学分析、腹部超声成像等）越来越容易获得，但手术必要性最准确的指标仍然是中度至重度腹痛体征的存在、适当镇痛治疗后疼痛复发以及无肠音。对新型生物标志物的研究仍在积极进行中，这些标志物可能有助于区分外科病变和可通过内科治疗的病变。
