Adams R, Koterba A M, Brown M P, Cudd T C, Baker W A
Department of Surgical Sciences, University of Florida, Gainesville.
Equine Vet J. 1988 Jan;20(1):9-12. doi: 10.1111/j.2042-3306.1988.tb01442.x.
The medical records of 20 neonatal foals in which exploratory celiotomies were performed for gastrointestinal disease were reviewed. In all 20 foals, persistent pain and/or progressive abdominal distension were the primary clinical findings influencing the decision to operate. However, ancilliary laboratory data were important to the proper medical management of these foals during anaesthesia and following surgery. Surgical diagnoses of the 20 foals included ileus (nine foals; 45 per cent), small colon obstruction (five foals; 25 per cent), large colon displacement (three foals; 15 per cent), small intestinal displacement (two foals; 10 per cent), and perforated gastric ulcer (one foal; 5 per cent). Seventeen foals were recovered from anaesthesia, 13 of these were discharged from the hospital, seven were alive six months or more following discharge. Sepsis was the cause of death in six of the 10 foals that died following recovery.
回顾了20匹因胃肠道疾病接受剖腹探查术的新生马驹的病历。在所有20匹马驹中，持续疼痛和/或进行性腹胀是影响手术决策的主要临床发现。然而，辅助实验室数据对于这些马驹在麻醉期间和术后的适当医疗管理很重要。20匹马驹的手术诊断包括肠梗阻（9匹；45%）、小结肠阻塞（5匹；25%）、大结肠移位（3匹；15%）、小肠移位（2匹；10%）和胃溃疡穿孔（1匹；5%）。17匹马驹从麻醉中恢复，其中13匹出院，7匹在出院后存活6个月或更长时间。败血症是10匹恢复后死亡的马驹中6匹的死因。
