Brockman D J, Washabau R J, Drobatz K J
Department of Clinical Studies, School of Veterinary Medicine, University of Pennsylvania, Philadelphia 19104-6010, USA.
J Am Vet Med Assoc. 1995 Aug 15;207(4):460-4.
Two hundred ninety-five case records were included in an analysis of dogs treated by a standardized protocol for gastric dilatation/volvulus syndrome between 1986 and 1992. A breed predisposition was demonstrated for Great Danes, German Shepherd Dogs, large mixed-breed dogs, and Standard Poodles. One hundred and ninety-three dogs had gastric dilatation and volvulus (GDV) confirmed at surgery, 66 had simple gastric dilatation (GD), and 36 others had gastric dilatation but volvulus could not be proved or disproved (GD +/- V). Among dogs with GDV, the fatality rate was 15% (29/193). Twenty-six (13.5%) dogs with GDV underwent partial gastrectomy, and 8 (31%) died or were subsequently euthanatized. In comparing the group of dogs with GDV that survived to those that died, there were no statistical differences in the age of dog, time between onset of clinical signs and admission, time from admission to surgery, or duration of anesthesia. Cardiac arrhythmias were detected in 40% (78/193) of the dogs with GDV. There also was no statistical correlation between development of a cardiac arrhythmia and outcome in dogs with GDV. The causes of death in dogs with GDV were multiple and varied; presumed gastric necrosis was a common reason for intraoperative euthanasia (11 dogs). Among dogs with GD or GD +/- V, the fatality rate was 0.9% (1/102).
1986年至1992年间，对295份按照标准化方案治疗胃扩张/扭转综合征的犬病例记录进行了分析。结果显示，大丹犬、德国牧羊犬、大型混种犬和标准贵宾犬存在品种易感性。193只犬在手术中被确诊为胃扩张并扭转（GDV），66只患有单纯性胃扩张（GD），另有36只存在胃扩张但无法证实或排除扭转（GD +/- V）。在患有GDV的犬中，死亡率为15%（29/193）。26只（13.5%）患有GDV的犬接受了部分胃切除术，其中8只（31%）死亡或随后被安乐死。比较存活和死亡的GDV犬组，在犬的年龄、临床症状出现至入院的时间、入院至手术的时间或麻醉持续时间方面没有统计学差异。40%（78/193）的GDV犬检测到心律失常。患有GDV的犬发生心律失常与预后之间也没有统计学相关性。患有GDV的犬的死亡原因多种多样；推测胃坏死是术中安乐死的常见原因（11只犬）。在患有GD或GD +/- V的犬中，死亡率为0.9%（1/102）。
