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2000年至2015年期间,加拿大东部沿海地区一家转诊医院收治的患急腹症马匹的临床检查结果、诊断情况及预后。

Clinical findings, diagnoses, and outcomes of horses presented for colic to a referral hospital in Atlantic Canada (2000-2015).

作者信息

Kaufman Jaclyn M, Nekouei Omid, Doyle Aimie J, Biermann Nora M

机构信息

Department of Health Management, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island.

出版信息

Can Vet J. 2020 Mar;61(3):281-288.

PMID:32165752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7020639/
Abstract

Medical records of equine patients presented for signs of abdominal pain to the Atlantic Veterinary College Teaching Hospital between 2000 and 2015 were reviewed. A total of 575 patients were enrolled, and the most common clinical findings, diagnoses, and outcomes are described. Potential predictors of survival to discharge were assessed. The most common diagnosis was large colon impaction (18.4%), followed by large colon volvulus (6.2%). Overall survival to discharge was 69%. The survival rates for horses were 82.9% for those with no diagnosis, 74.6% for those with large intestine lesions, and 38.5% for those with small intestine lesions. Significant predictors for non-survival were increasing age, increasing duration of colic signs, severity of colic, and a lesion in the small intestine. These data are important for veterinarians in the region who are treating cases of equine colic and advising clients.

摘要

对2000年至2015年间因腹痛症状就诊于大西洋兽医学院教学医院的马属动物患者的病历进行了回顾。共纳入575例患者,并描述了最常见的临床发现、诊断和转归。评估了出院存活的潜在预测因素。最常见的诊断是大结肠阻塞(18.4%),其次是大结肠扭转(6.2%)。总体出院存活率为69%。未确诊马匹的存活率为82.9%,大肠病变马匹的存活率为74.6%,小肠病变马匹的存活率为38.5%。非存活的显著预测因素是年龄增加、绞痛体征持续时间增加、绞痛严重程度以及小肠病变。这些数据对该地区治疗马属动物绞痛病例并为客户提供建议的兽医很重要。

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本文引用的文献

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Vet Surg. 2017 Aug;46(6):860-867. doi: 10.1111/vsu.12679. Epub 2017 Jun 19.
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Duodenojejunal mesenteric rents: Survival and complications after surgical correction in 38 broodmares (2006-2014).十二指肠空肠系膜裂孔:38匹母马手术矫正后的生存情况及并发症(2006 - 2014年)
Vet Surg. 2017 Apr;46(3):367-375. doi: 10.1111/vsu.12611. Epub 2017 Feb 1.
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Acta Vet Scand. 2017 Jan 5;59(1):5. doi: 10.1186/s13028-016-0273-9.
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Short-term complications after colic surgery in geriatric versus mature non-geriatric horses.老年马与成熟非老年马结肠手术后的短期并发症
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Equine Vet J. 2015 Nov;47(6):650-4. doi: 10.1111/evj.12358. Epub 2014 Dec 14.
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