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Successful treatment of prolonged postoperative ileus following resection of a small intestinal spindle cell sarcoma in a horse

机译:成功的治疗延长术后肠梗阻小肠切除后梭形细胞肉瘤的一匹马

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摘要

This case report details the unusual clinical course of a horse that had been hospitalised for recurrent colic prior to an acute colic episode requiring emergency laparotomy. Within the first 24 hours after surgery, the horse developed severe colic and postoperative ileus (Pol) requiring repeat laparotomy. The horse suffered persistent ileus with copious reflux for 8 days thereafter, but its clinical condition permitted continued treatment. it was discharged after 4 weeks and returned to its previousperformance level. The authors describe clinical decision-making regarding intravenous fluid therapy, prokinetic drug administration, enteral and parenteral nutrition, and institution of physical exercise in the treatment of persistent Poi. economic andwelfare considerations allowing, equine Poi may resolve even in protracted cases. Patients may benefit from strategies aimed at early enteral feeding and ambulation as have emerged in human Poi management.
机译:这种情况下不寻常的临床报告细节一匹马,已经住院了复发性急性绞痛发作之前绞痛需要紧急剖腹手术。手术后24小时,马发达严重的疝气和术后肠梗阻(Pol)需要重复剖腹手术。持续的肠梗阻8天的丰富的回流此后,但其临床条件允许的继续治疗。周,回到previousperformance的水平。决策对静脉注射液体治疗,prokinetic药品管理局,肠内和肠外营养和机构体育锻炼治疗持续芋泥。马Poi在旷日持久的情况下甚至可能解决。患者可能受益于策略旨在早期肠内喂养和移动出现在人类Poi管理。

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