Schneider R K, Milne D W, Kohn C W
J Am Vet Med Assoc. 1982 Feb 1;180(3):317-20.
Twenty-seven cases of acquired inguinal hernia in the horse were reviewed. The history, clinical signs, treatment, and complications were summarized. Mortality was 25.9%. Only 13 or the 27 cases were diagnosed prior to admission. With early diagnosis and treatment, mortality should approach zero. In 24 of these cases, the hernia was strangulated. In each case, the signs were colic, a firm slightly enlarged testicle in the scrotum, and small intestine displacement through the inguinal ring, as determined via rectal palpation. In was concluded that palpation of the scrotum and inguinal rings should be performed on every stallion with colic. The importance of early diagnosis in decreasing mortality was illustrated by the comparison of nonsurvivors to survivors.
回顾了27例马后天性腹股沟疝病例。总结了病史、临床症状、治疗方法及并发症。死亡率为25.9%。27例中仅有13例在入院前得到诊断。若能早期诊断并治疗，死亡率应接近零。在这些病例中，有24例疝发生绞窄。在每一例中，症状均为疝痛、阴囊内坚实且略有肿大的睾丸以及经直肠触诊确定的小肠通过腹股沟环移位。得出的结论是，应对每匹患疝痛的种马进行阴囊和腹股沟环触诊。通过非存活者与存活者的对比，说明了早期诊断对降低死亡率的重要性。
