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[急性结肠假性梗阻:奥吉尔维综合征]

[Acute colonic pseudoobstruction: Ogilvie's syndrome].

作者信息

Trenin S O, Shishkov A V, Maslennikov V A, Keropian O K

出版信息

Khirurgiia (Mosk). 2007(4):32-8.

PMID:17690630
Abstract

Based on literature and own original clinical data authors conclude that Ogilvie's syndrome is the form of dynamic obstruction of colon due to lesion of retroperitoneal neural nodes, heart failure and intoxication. Ogilvie's syndrome complicates therapeutic and surgical diseases. This syndrome can be manifested with acute abdomen symptoms and at 22% cases may be the cause of surgical treatment. Ogilvie's syndrome is successfully treated with evacuation of intestinal contents, but the risk of recurrence after this treatment is high. Ethiotropic therapy, correction of water-electrolytic balance and tissues oxygenation, administration of acetylcholinesterase inhibitors are the more effective treatment of this syndrome.

摘要

基于文献和自身原始临床数据,作者得出结论,奥吉尔维综合征是由于腹膜后神经节病变、心力衰竭和中毒导致的结肠动力性梗阻形式。奥吉尔维综合征会使治疗性和外科疾病复杂化。该综合征可表现为急腹症症状,在22%的病例中可能是手术治疗的原因。通过排出肠道内容物可成功治疗奥吉尔维综合征,但这种治疗后复发风险很高。病因针对性治疗、纠正水电解质平衡和组织氧合、给予乙酰胆碱酯酶抑制剂是该综合征更有效的治疗方法。

相似文献

1
[Acute colonic pseudoobstruction: Ogilvie's syndrome].[急性结肠假性梗阻:奥吉尔维综合征]
Khirurgiia (Mosk). 2007(4):32-8.
2
[Ogilvie's syndrome: a rare cause of the acute abdomen].奥吉尔维综合征:急腹症的罕见病因
Z Gastroenterol. 2003 Feb;41(2):177-80. doi: 10.1055/s-2003-37308.
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Acute colonic pseudoobstruction in a child with sickle cell disease treated with neostigmine.用新斯的明治疗镰状细胞病患儿的急性结肠假性梗阻。
J Pediatr Surg. 2008 Dec;43(12):2281-4. doi: 10.1016/j.jpedsurg.2008.07.030.
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Ogilvie's syndrome--acute colonic pseudo-obstruction. Case report and review of the literature.奥吉尔维综合征——急性结肠假性梗阻。病例报告及文献综述。
Rom J Gastroenterol. 2003 Mar;12(1):51-5.
5
Ogilvie's syndrome (acute colonic pseudo-obstruction): review of the literature and report of 6 additional cases.奥吉尔维综合征(急性结肠假性梗阻):文献综述及6例补充病例报告
Radiol Med. 2005 Apr;109(4):370-5.
6
Spinal anesthesia and Ogilvie's syndrome.脊髓麻醉与奥吉尔维综合征。
J Clin Anesth. 2005 Mar;17(2):122-3. doi: 10.1016/j.jclinane.2004.03.015.
7
Acute pseudo-obstruction of the colon (Ogilvie's syndrome) during pregnancy.妊娠期结肠急性假性梗阻(奥吉尔维综合征)
J Med. 1990;21(6):331-6.
8
Controlled transperitoneal percutaneous cecostomy as a therapeutic alternative to the endoscopic decompression for Ogilvie's syndrome.可控经腹经皮盲肠造口术作为奥吉尔维综合征内镜减压治疗的替代方法。
Am J Gastroenterol. 2002 Feb;97(2):471-4. doi: 10.1111/j.1572-0241.2002.05457.x.
9
[Ogilvie's syndrome: does it have to be redefined? An analysis of 8 cases and contribution to the discussion].[奥吉尔维综合征:是否需要重新定义?8例病例分析及对相关讨论的贡献]
Minerva Chir. 1994 Dec;49(12):1317-23.
10
[Idiopathic dilatation of the large intestine (Ogilvie syndrome--acute pseudo-obstruction)].[大肠特发性扩张(奥吉尔维综合征——急性假性肠梗阻)]
Zentralbl Chir. 1998;123(12):1360-4.