Periparturient, hemorrhage in mares: 73 cases (1998-2005)
Periparturient, hemorrhage in mares: 73 cases (1998-2005)
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DOI：
10.2460/javma.232.9.1345
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发表时间：
2008-05-01
影响因子：
1.9
通讯作者：
Bain, Fairfield T.
中科院分区：
文献类型：
--
作者：
Arnold, Carolyn E.;Payne, Maria;Bain, Fairfield T.
目的-确定围产期出血 (PPH) 母马的信号、体格检查和临床病理异常、结果和随后的生育能力，并确定与结果（生存与死亡）相关的因素。设计-回顾性病例系列。动物-73 匹母马。程序-审查医疗记录，了解有关年龄、品种、初次主诉、体检和临床病理异常、治疗、结果和随后生育能力的信息。结果-中位年龄为 14.0年（范围，5 至 24 岁），诊断 PPH 之前所产马驹的中位数为 8（范围，1 至 16）。 10 匹（14%）母马发生产前出血，63 匹（86%）母马发生产后出血。治疗的目的是恢复心血管容量、增强凝血、控制疼痛和减少内毒素血症的影响。 61 匹 (84%) 母马幸存，12 匹 (16%) 死亡或被安乐死。常见并发症包括发烧、白细胞减少、胎膜滞留、指脉搏增、血栓性静脉炎和心律失常。在获得后续育种信息的 53 匹幸存母马中，26 匹 (49%) 在从 PPH 中恢复后产下 1 匹或更多小马驹。结论和临床相关性 - 结果表明 PPH 可以在任何年龄和胎次的母马中发生。治疗与良好的生存预后和未来生育能力的合理预后相关。
Objective-To determine signalment, physical examination and clinicopathologic abnormalities, outcome, and subsequent fertility of mares with periparturient hemorrhage (PPH) and identify factors associated with outcome lie, survival vs death).Design-Retrospective case series.Animals-73 mares.Procedures-Medical records were reviewed for information on age, breed, initial complaint, physical examination and clinicopathologic abnormalities, treatment, outcome, and subsequent fertility.Results-Median age was 14.0 years (range, 5 to 24 years), and median number of foals produced prior to the diagnosis of PPH was 8 (range, 1 to 16). Ten (14%) mares had prepartum hemorrhage and 63 (86%) had postpartum hemorrhage. Treatment was aimed at restoring cardiovascular volume, enhancing coagulation, controlling pain, and reducing the effects of endotoxemia. Sixty-one (84%) mares survived and 12 (16%) died or were euthanized. Common complications included fever, leukopenia, retained fetal membranes, increased digital pulses, thrombophlebitis, and cardiac arrhythmias. Of the 53 surviving mares for which subsequent breeding information was available, 26 (49%) produced 1 or more foals after recovering from PPH.Conclusions and Clinical Relevance-Results suggested that PPH can develop in mares of any age and parity. Treatment was associated with a good prognosis for survival and a reasonable prognosis for future fertility.