Evaluation of peritoneal fluid lactate as a marker of intestinal ischaemia in equine colic.

摘要: Summary Reasons for performing study: The most common cause of death as a direct result colic is acute circulatory failure secondary to intestinal ischaemia. Early and accurate recognition ischaemic bowel essential decrease complications increase survival. Blood peritoneal lactate values have been evaluated prognostic indicator, but characterised by type lesion not reported. Hypothesis: Plasma are higher in horses with ischaemia strangulating obstruction (ISSO). Methods: Venous blood fluid were collected sequentially from 20 clinically healthy 189 admitted during one-year period. gas, pH, electrolyte (K+, Na+, Ca++, Cl-), glucose determined samples; other recorded included gross appearance, total protein nucleated cell count. Information regarding diagnosis, treatment outcome was retrieved the medical records. Results: Peritoneal plasma levels lower control compared clinical cases. Horses ISSO had value (8.45 mmol/l) than those nonstrangulating (2.09 mmol/l). Factors strongest correlations presence changes appearance chloride, pH log10 lactate. Conclusions: Analysis chloride can be used diagnosis ISSO. Potential relevance: better predictor may aid early detection catastrophic lesions such strangulation rupture.