Baird A N, Freeman D E
Auburn University, Alabama, USA.
Vet Clin North Am Equine Pract. 1997 Aug;13(2):377-92. doi: 10.1016/s0749-0739(17)30246-8.
Rectal tears have important medicolegal implications, and severe tears have a poor prognosis. Prompt diagnosis, immediate application of first aid measures, early referral, use of appropriate definitive treatments, and aggressive aftercare will improve the prognosis. The grade of rectal injury will determine the definitive treatment, but there are few guidelines to determine which treatment is best in each case. Bypass procedures, such as colostomy and indwelling rectal liner, have their own advantages and disadvantages, but can facilitate healing and prevent life-threatening complications if they are used with minimum delay. Suture of the tear can be difficult, but should be attempted to hasten healing and to prevent progression of the tear to a more severe injury.
直肠撕裂具有重要的法医学意义，严重撕裂的预后较差。及时诊断、立即采取急救措施、尽早转诊、采用适当的确定性治疗方法以及积极的后续护理将改善预后。直肠损伤的分级将决定确定性治疗方法，但几乎没有指南来确定在每种情况下哪种治疗方法最佳。诸如结肠造口术和留置直肠衬垫等旁路手术有其自身的优缺点，但如果能尽快使用，可促进愈合并预防危及生命的并发症。撕裂处的缝合可能困难，但应尝试进行以加速愈合并防止撕裂进展为更严重的损伤。
