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红细胞压积和心率可预测因胃肠道疾病引起的疝痛马的内科和外科病例及其短期存活率。

Packed cell volume and heart rate to predict medical and surgical cases and their short-term survival in horses with gastrointestinal-induced colic.

机构信息

University of Ljubljana, Veterinary Faculty, Clinic for Breeding and Health Care of Horses, Gerbiceva ulica 60, 1000 Ljubljana, Slovenia (Kos, Kramaric, Brloznik); University of Ljubljana, Veterinary Faculty, Clinic for Small Animals, Gerbiceva ulica 60, 1000 Ljubljana, Slovenia (Brloznik).

出版信息

Can Vet J. 2022 Apr;63(4):365-372.

Abstract

The objective of this prospective case-control study of 125 horses with gastrointestinal tract-induced colic was to determine whether heart rate (HR) and packed cell volume (PCV) can predict surgical medical treatment and its short-term survival (time of discharge of the patient). Sixty-four horses were treated medically and 61 surgically (29 small intestinal and 32 large intestinal cases). At admission, both PCV and HR were higher in horses treated surgically than in horses treated medically; however, with longer duration of colic before presentation, the PCV was higher in the small intestinal surgical group only. In addition, both PCV and HR were higher, and the duration of colic was longer in non-survivors compared to survivors. Binary logistic regression demonstrated a significant association between HR and type of treatment, and both HR and PCV were predictive of survival. Simple parameters such as HR and PCV provide useful information for management of colic cases.

摘要

本前瞻性病例对照研究纳入了 125 例胃肠道性腹痛的马匹,旨在确定心率(HR)和红细胞压积(PCV)是否可预测手术治疗及其短期预后(患者出院时间)。64 例马匹接受内科治疗,61 例接受外科治疗(29 例小肠病例,32 例大肠病例)。入院时,与内科治疗的马匹相比,外科治疗的马匹的 PCV 和 HR 更高;然而,在表现出腹痛之前的时间更长的情况下,只有小肠外科组的 PCV 更高。此外,与存活马匹相比,非存活马匹的 PCV 和 HR 更高,腹痛持续时间更长。二项逻辑回归显示 HR 与治疗类型之间存在显著关联,且 HR 和 PCV 均对预后有预测作用。HR 和 PCV 等简单参数为腹痛病例的管理提供了有用的信息。

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本文引用的文献

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Advances in Diagnostics and Treatments in Horses with Acute Colic and Postoperative Ileus.马急性腹痛和术后肠梗阻的诊断与治疗进展
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Equine colic: putting the puzzle together.
Vet Rec. 2017 Sep 16;181(11):289-290. doi: 10.1136/vr.j4161.
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Factors associated with survival of horses following relaparotomy.再次剖腹术后马匹生存相关因素。
Equine Vet J. 2017 Jul;49(4):448-453. doi: 10.1111/evj.12635. Epub 2016 Oct 13.
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