Millares-Ramirez Esther M, Le Jeune Sarah S
William R. Pritchard Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California-Davis, Davis, CA.
The Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California-Davis, Davis, CA.
J Equine Vet Sci. 2019 Aug;79:100-104. doi: 10.1016/j.jevs.2019.05.025. Epub 2019 Jun 8.
Girth aversion or girthiness is a nonspecific clinical sign anecdotally associated with multiple conditions in the horse (behavioral problems, gastric ulcers, back pain); however, studies have not been conducted to definitively correlate this clinical sign to specific pathologies. This retrospective study aims to describe the clinical signs and final diagnoses of 37 horses evaluated at the University of California, Davis with a presenting complaint of girthiness. Medical records of all horses presented to the veterinary hospital between 2004 and 2016 for girthiness were reviewed. Twelve horses were diagnosed with gastric ulceration, 10 with various orthopedic problems, 3 with ill-fitting saddles, 1 with reproductive tract neoplasia, and 10 with various diseases including liver abscessation, vena cava aneurism, sternum pain, and urinary tract infection. Identifying the exact cause of girthiness remains a challenge; however, gastric ulcers was a common finding; therefore, a clinical examination should be oriented to further investigate this condition because 92% of gastroscoped horses in this study were diagnosed with gastric ulcers.
腹围厌恶或腹围增大是一种非特异性临床体征，据传闻与马匹的多种病症相关（行为问题、胃溃疡、背痛）；然而，尚未开展研究来明确将这一临床体征与特定病理状况相关联。这项回顾性研究旨在描述加利福尼亚大学戴维斯分校评估的37匹以腹围增大为主诉的马匹的临床体征及最终诊断结果。对2004年至2016年间送至兽医医院的所有因腹围增大就诊的马匹的病历进行了回顾。12匹马被诊断为胃溃疡，10匹有各种骨科问题，3匹因马鞍不合适，1匹有生殖道肿瘤，10匹有各种疾病，包括肝脓肿、腔静脉动脉瘤、胸骨疼痛和尿路感染。确定腹围增大的确切原因仍然是一项挑战；然而，胃溃疡是一个常见发现；因此，临床检查应着眼于进一步调查这种情况，因为在本研究中，92%接受胃镜检查的马匹被诊断为胃溃疡。
