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临床发现和手术治疗犬猫慢性胃肠道异物梗阻的患者结局:72 例病例报告(2010-2020 年)。

Clinical findings and patient outcomes following surgical treatment of chronic gastrointestinal foreign body obstructions in dogs and cats: 72 cases (2010-2020).

机构信息

Surgery (Kan), Internal Medicine (Hess), Interventional Radiology & Critical Care (Clarke), Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

出版信息

Can J Vet Res. 2022 Oct;86(4):311-315.

Abstract

The objective of this study was to characterize clinicopathologic factors and outcomes for dogs and cats with chronic small intestinal foreign body obstructions (CFBO). Medical records of 72 dogs and cats diagnosed with CFBO between 2010 to 2020 were reviewed for duration of clinical signs, pre-surgical and intraoperative findings, complications, and outcomes. A chronic foreign body was defined as clinical signs, or the observation of foreign material ingestion, at least 7 days prior to presentation. Twenty-two (31%) patients had a small intestinal resection and anastomosis (SIRA) and were more likely to have longer duration of clinical signs ( = 0.01). Eleven (15%) patients developed major post-operative complications. Sixty-eight (94%) patients survived to follow-up. Although all patients that did not survive ( = 4, 100%) had a SIRA, patients with CFBO had a high survival rate. Therefore, clients should not be deterred from pursuing surgical intervention.

摘要

本研究旨在描述犬猫慢性小肠异物阻塞(CFBO)的临床病理特征及转归。回顾分析了 2010 年至 2020 年间诊断为 CFBO 的 72 例犬猫的病历资料,分析内容包括临床症状持续时间、术前和术中发现、并发症及转归。慢性异物是指在出现临床症状或观察到异物摄入至少 7 天之前存在的异物。22 例(31%)患者进行了小肠部分切除术和吻合术(SIRA),且临床症状持续时间更长(P=0.01)。11 例(15%)患者出现重大术后并发症。68 例(94%)患者存活至随访。尽管所有未存活的患者(n=4,100%)均接受了 SIRA,但 CFBO 患者的存活率较高。因此,不应劝阻患者进行手术干预。

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