Lloyd K C
Center for Ulcer Research and Education, Wadsworth Veterans Administration Medical Center, Los Angeles, California.
Vet Clin North Am Equine Pract. 1988 Apr;4(1):17-34. doi: 10.1016/s0749-0739(17)30647-8.
Despite clinical signs compatible with obstruction or ischemia of the gastrointestinal tract, the clinician occasionally is unable to identify a gastrointestinal cause for colic. In this article, disorders not originating from obstruction or ischemia of the gastrointestinal tract but causing real or apparent abdominal pain are presented as alternative causes of colic. In addition, colic of gastrointestinal origin may be the primary inciting factor or a secondary complication of an alternative disorder, causing colic-like signs. Recognition of alternative diagnoses relies on a thorough and consistent approach to the clinical assessment of the equine colic patient and helps to ensure appropriate patient management.
尽管有与胃肠道梗阻或缺血相符的临床症状，但临床医生有时无法确定绞痛的胃肠道病因。在本文中，将介绍并非由胃肠道梗阻或缺血引起但导致真性或假性腹痛的疾病，作为绞痛的替代病因。此外，胃肠道源性绞痛可能是替代疾病的主要诱发因素或继发并发症，导致类似绞痛的症状。认识到替代诊断依赖于对马属动物绞痛患者进行全面且一致的临床评估方法，并有助于确保对患者进行适当的管理。
