Lokai M D
Mod Vet Pract. 1984 Jun;65(6):442-3.
Initial treatment of colic is aimed at maintaining hydration and acid-base balance, controlling pain and reestablishing peristalsis. A poor response to medical treatment in the first 12-18 hours suggests the need for laparotomy. Other indications for surgery include: rising pulse rate, exceeding 60/minute for several hours; congested mucosae; delayed capillary refill; silent abdomen; gastric reflux; distended or displaced loops of bowel on rectal examination; intractable pain; and adverse laboratory findings. Postoperative care should consist of hand-walking for 30 days, followed by confinement in a small paddock for another 60 days, and reduced grain intake.
绞痛的初始治疗旨在维持水合作用和酸碱平衡、控制疼痛并恢复蠕动。在最初的12 - 18小时内对药物治疗反应不佳表明需要进行剖腹手术。手术的其他指征包括：脉搏率升高，持续数小时超过60次/分钟；黏膜充血；毛细血管再充盈延迟；腹部无蠕动音；胃反流；直肠检查时肠袢扩张或移位；顽固性疼痛；以及不良的实验室检查结果。术后护理应包括30天的牵遛运动，随后在一个小围场中再饲养60天，并减少谷物摄入量。
