Dyson S
Equine Vet J. 1983 Jan;15(1):25-30. doi: 10.1111/j.2042-3306.1983.tb01693.x.
Thirty cases of peritonitis, in which the diagnosis was based on a peritoneal fluid white blood cell count in excess of 10 x 10(9)/litre, are described. Colic, ileus, pyrexia, weight loss and diarrhoea were common presenting signs. Treatments included intravenous fluids, anti-inflammatory analgesics, broad spectrum antibiotics and anthelmintics. Duration of treatment was determined by the clinical condition of the horse and sequential analyses of the peritoneal fluid and the haemogram. In the majority of cases the primary cause of peritonitis was not accurately determined, but 21 horses (70 per cent) recovered. All the horses with diarrhoea were killed after marked deterioration in their clinical condition despite intensive treatment. No individual laboratory parameter was of value in determining prognosis, although of the eight (27 per cent) horses from which bacteria were identified in the initial peritoneal fluid by Gram stain, four (50 per cent) were subsequently killed.
本文描述了30例腹膜炎病例,其诊断依据为腹腔积液白细胞计数超过10×10⁹/升。绞痛、肠梗阻、发热、体重减轻和腹泻是常见的临床表现。治疗方法包括静脉补液、消炎镇痛药、广谱抗生素和驱虫药。治疗持续时间取决于马的临床状况以及对腹腔积液和血常规的连续分析。在大多数病例中,腹膜炎的主要病因未能准确确定,但21匹马(70%)康复。尽管进行了强化治疗,但所有出现腹泻的马在临床状况明显恶化后均被处死。在确定预后方面,没有任何单个实验室参数具有价值,不过在最初腹腔积液经革兰氏染色鉴定出细菌的8匹马(27%)中,有4匹(50%)随后被处死。