Acute Abdomen

Louise L. Southwood BVSc, PhD, Dipl ACVS, Dipl ACVECC
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Abstract

Colic is the most common problem necessitating emergency care of horses. Obtaining a thorough history and performing a meticulous physical examination is critical when examining a horse with colic. Ancillary tests, such as hematology and serum biochemistry, peritoneal fluid analysis, ultrasonography, and radiography, can be used to obtain a more specific diagnosis, determine the need for exploratory celiotomy, and estimate prognosis. While the causes of colic are numerous and in some cases life-threatening, the majority of horses showing signs of colic respond to basic medical management. The prognosis for horses with more serious causes of colic has improved dramatically over the past 10 years, predominantly because of early referral and surgical intervention. Future epidemiological studies investigating the causes of colic and novel treatment methods for horses with strangulating lesions are necessary for continued improvement in survival rates of the colic patient.

急腹症
绞痛是最常见的问题,需要对马匹进行紧急护理。在对马进行肠绞痛检查时,获得彻底的病史和进行细致的身体检查是至关重要的。辅助检查,如血液学和血清生化、腹膜液分析、超声检查和x线检查,可用于获得更具体的诊断,确定是否需要探查性剖腹探查,并估计预后。虽然引起绞痛的原因很多,在某些情况下会危及生命,但大多数表现出绞痛迹象的马对基本的医疗管理有反应。在过去的10年里,由于早期转诊和手术干预,患有严重疝气的马的预后有了显著改善。未来的流行病学研究调查肠绞痛的原因和新的治疗方法对马绞勒死病变是必要的,以继续提高肠绞痛患者的存活率。
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