Stack P S
Department of Internal Medicine, Humana Hospital-Medical City, Dallas.
Postgrad Med. 1991 Apr;89(5):131-4. doi: 10.1080/00325481.1991.11700896.
Numerous conditions predispose to Ogilvie's syndrome, a process that mimics bowel obstruction. Characteristic radiographic findings of acute pseudo-obstruction include dilatation of the cecum and the remainder of the colon but not the small intestine. Treatment is individualized. Massive cecal dilatation carries the risk of cecal perforation and its attendant high mortality rate. Conservative therapies, such as nasogastric suction, gentle enemas, and use of a rectal tube, may be beneficial. Decompression by colonoscopy or other means may be necessary.
许多情况易引发奥吉尔维综合征，这是一种类似肠梗阻的病症。急性假性肠梗阻的典型影像学表现包括盲肠和结肠其余部分扩张，但小肠无扩张。治疗是个体化的。巨大的盲肠扩张有盲肠穿孔的风险及其随之而来的高死亡率。保守治疗，如鼻胃管抽吸、轻柔灌肠以及使用肛管，可能有益。必要时可能需要通过结肠镜检查或其他方法进行减压。
