Hunt J M, Edwards G B, Clarke K W
Equine Vet J. 1986 Jul;18(4):264-70. doi: 10.1111/j.2042-3306.1986.tb03623.x.
A survey of 259 surgical colic cases revealed that over 50 per cent of fatalities occurred in the postoperative period. Postoperative ileus and circulatory/endotoxaemic shock accounted for 70 per cent of these deaths. Other less important complications were salmonellosis, long bone fracture, adhesions, haemorrhage, laminitis, wound infection and ischaemic muscle damage. Close monitoring of postoperative progress is necessary to enable early diagnosis and treatment. Recent developments in understanding of the pathophysiology of endotoxic shock and ileus may lead to more successful treatment regimes. The possibilities include the use of cyclooxygenase inhibitors, anti-endotoxin hyperimmune serum and dopamine antagonists.
对259例外科急腹症病例的调查显示，超过50%的死亡发生在术后。术后肠梗阻和循环/内毒素血症休克占这些死亡病例的70%。其他不太重要的并发症包括沙门氏菌病、长骨骨折、粘连、出血、蹄叶炎、伤口感染和缺血性肌肉损伤。密切监测术后进展对于早期诊断和治疗至关重要。对内毒素休克和肠梗阻病理生理学认识的最新进展可能会带来更成功的治疗方案。可能性包括使用环氧化酶抑制剂、抗内毒素超免疫血清和多巴胺拮抗剂。
