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[结肠急性假性梗阻,即奥吉尔维综合征:内科急性腹痛的罕见病因、高死亡率及相关病理情况]

[The acute pseudobstruction of the colon, or Ogilvie's syndrome: a rare cause of acute abdomen, high mortality and associated pathologies in an internal medicine department].

作者信息

Montero Leal C, Hormeño Bermejo R M, González Moreno E, Gordillo Morera B

出版信息

An Med Interna. 2006 Sep;23(9):435-7. doi: 10.4321/s0212-71992006000900008.

DOI:10.4321/s0212-71992006000900008
PMID:17096607
Abstract

The acute pseudobstruction of the colon or Ogilvie's syndrome is a infrequent pathology of acute or subacute evolution, that is associated to different clinical or surgical pathologies, and whose pathophysiology continues to be unknown. The treatment begins with general measures and if these are not effective, with the surgical decompression of colon to avoid the most serious complication, and frequently that is perforation of the cecum. We present a case of an acute and idiopathic dilatation of colon in an adult man who entered by an episode of acute respiratory insufficiency, and that was solved with preservative medical treatment.

摘要

结肠急性假性梗阻或奥吉尔维综合征是一种急性或亚急性病程的罕见病症,与不同的临床或外科病症相关,其病理生理学仍不清楚。治疗首先采取一般措施,若这些措施无效,则进行结肠减压手术以避免最严重的并发症,而这一并发症通常是盲肠穿孔。我们报告一例成年男性急性特发性结肠扩张病例,该患者因急性呼吸功能不全发作入院,经保守药物治疗后病情得到缓解。

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An Med Interna. 2006 Sep;23(9):435-7. doi: 10.4321/s0212-71992006000900008.
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