Retrospective evaluation of concurrent intra-abdominal injuries in dogs with traumatic pelvic fractures: 83 cases (2008-2013)

被引:14
|
作者
Hoffberg, Jamie E. [1 ,3 ]
Koenigshof, Amy M. [1 ]
Guiot, Laurent P. [2 ]
机构
[1] Michigan State Univ, Coll Vet Med, Dept Clin Sci, E Lansing, MI 48824 USA
[2] Ohio State Univ, Vet Med Ctr Dublin, Dept Vet Clin Sci, Dublin, OH 43017 USA
[3] Univ Wisconsin, Sch Vet Med, Dept Med Sci, Madison, WI 53706 USA
关键词
canine; hemoabdomen; peritonitis; polytrauma; uroabdomen; MOTOR-VEHICLE ACCIDENTS; URINARY-TRACT INJURIES; FOCUSED ASSESSMENT; LOCATIONS INFLUENCE; ABDOMINAL FLUID; BLUNT TRAUMA; MANAGEMENT; SONOGRAPHY; HEMOPERITONEUM; PERFORATION;
D O I
10.1111/vec.12430
中图分类号
S85 [动物医学(兽医学)];
学科分类号
0906 ;
摘要
ObjectiveTo report the occurrence of intra-abdominal injury (IA) in dogs with pelvic fractures due to blunt trauma, to evaluate for association between characterization of pelvic fractures and the presence of IA, and to evaluate for association between IA and other specific clinical conditions. DesignRetrospective case series (2008-2013). SettingUniversity teaching hospital. AnimalsEighty-three client-owned dogs with pelvic fractures due to blunt trauma. InterventionsNone. Measurements and Main ResultsPelvic injuries included pubic fractures (90.4%), ischial fractures (80.7%), sacroiliac luxations (57.8%), iliac fractures (43.4%), acetabular fractures (30.1%), and sacral fractures (13.3%). Thirty-one dogs (37%) had IA, which included hemoabdomen (27 dogs), uroabdomen (3), and septic abdomen (3); 2 dogs had 2 types of IA. Dogs with sacral fractures were significantly more likely to have IA than dogs without sacral fractures (P = 0.0162). Characterization of pelvic fractures included the direction of compression, presence of a weight-bearing bone fracture, and degree of pelvic narrowing, none of which had an association with IA (P > 0.05). Dogs were more likely to have IA if they had cardiac dysrhythmia (P = 0.0002) or hematuria (P = 0.0001), and were more likely to have a hemoabdomen if they had cardiac dysrhythmia (P = 0.0005). Dogs with hematochezia were more likely to have a septic abdomen (P = 0.0123). Dogs were more likely to receive a transfusion if they had AI (P = 0.033) or hemoabdomen specifically (P = 0.0033). Overall survival to discharge was 89%, which was significantly greater than survival in dogs with pelvic injury that also had septic abdomen (33%; P = 0.0299). ConclusionsIA is common in dogs with pelvic fractures, especially those with sacral fractures. Pelvic fracture characterization had no bearing on the presence of IA.
引用
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页码:288 / 294
页数:7
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