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新生马驹疑似尿路破裂的剖腹探查术:18例病例回顾

Exploratory celiotomy for suspected urinary tract disruption in neonatal foals: a review of 18 cases.

作者信息

Adams R, Koterba A M, Cudd T C, Baker W A

机构信息

Department of Surgical Sciences, College of Veterinary Medicine, University of Florida, Gainesville 32610.

出版信息

Equine Vet J. 1988 Jan;20(1):13-7. doi: 10.1111/j.2042-3306.1988.tb01443.x.

DOI:10.1111/j.2042-3306.1988.tb01443.x
PMID:3366099
Abstract

The medical records of 18 neonatal foals, in which exploratory celiotomies were performed for suspected urinary tract lesions, were reviewed. Despite clinical signs and laboratory values indicative of disruption of the urinary tract, three foals did not have a site of urinary tract leakage at surgery. Eight foals had ruptured bladders and seven foals had urachal lesions. Ultrasonography was used as a pre-operative diagnostic procedure in eight foals to evaluate the presence of free peritoneal fluid and urinary tract integrity. Nine foals were alive six months after discharge. Seven of the nine non-surviving foals died or were destroyed because of fungal or bacterial infections.

摘要

对18匹新生马驹的病历进行了回顾,这些马驹因怀疑有泌尿道病变而接受了剖腹探查术。尽管有临床症状和实验室检查结果提示泌尿道破裂,但有3匹马驹在手术时未发现泌尿道漏出部位。8匹马驹膀胱破裂,7匹马驹脐尿管病变。8匹马驹在术前使用超声检查来评估腹腔内有无游离液体及泌尿道完整性。9匹马驹出院后存活6个月。9匹未存活的马驹中有7匹因真菌或细菌感染死亡或被人道毁灭。

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