Hanson R R, Schumacher J, Humburg J, Dunkerley S C
Department of Large Animal Surgery and Medicine, College of Veterinary Medicine, Auburn University, AL 36849-5522, USA.
J Am Vet Med Assoc. 1996 Mar 15;208(6):898-900.
To evaluate clinical and laboratory findings for horses treated medically for ileal impactions.
Retrospective case series.
10 horses with primary ileal impaction that were treated successfully with medical treatment alone.
Medical records were reviewed for all horses with naturally developing ileal impaction seen at our hospital between 1990 and 1994.
Transrectal palpation revealed an impaction in the midabdominal area in all horses. Generalized distention of the small intestine was evident in 6 horses, whereas 4 horses were examined early in the course of the condition and did not have intestinal distention. Treatment consisted of intravenous administration of a balanced electrolyte solution, nasogastric intubation and siphonage, and administration of analgesics. Mineral oil was administered after gastric reflux had ceased. Mean time for resolution of ileal impaction was 11.7 hours.
Medical treatment may be a viable alternative for horses that cannot have surgery, provided persistent signs of severe pain or progressive gaseous distention of the small intestine are not features of the condition. Improvement of cardiovascular status, reduction in signs of abdominal pain, decrease in distention of loops of small intestine during repeated transrectal examination, softening of the impaction, and decreases in amounts of gastric reflux were indicative of a response to medical treatment.
评估接受回肠阻塞药物治疗的马匹的临床和实验室检查结果。
回顾性病例系列。
10匹原发性回肠阻塞马匹，仅通过药物治疗成功治愈。
查阅了1990年至1994年间在我院就诊的所有自然发生回肠阻塞马匹的病历。
经直肠触诊发现所有马匹的中腹部均有阻塞。6匹马出现小肠广泛性扩张，而4匹马在病情早期接受检查时未出现肠道扩张。治疗包括静脉输注平衡电解质溶液、鼻胃管插管和虹吸以及给予镇痛药。胃反流停止后给予矿物油。回肠阻塞缓解的平均时间为11.7小时。
对于无法进行手术的马匹，如果不存在严重疼痛的持续体征或小肠进行性气体扩张，则药物治疗可能是一种可行的替代方法。心血管状况改善、腹痛体征减轻、在反复经直肠检查期间小肠肠袢扩张减轻、阻塞软化以及胃反流减少均表明对药物治疗有反应。
