Grinev M V, Opushnev V A
Vestn Khir Im I I Grek. 1990 May;144(5):38-42.
The authors observed 3 patients with the Ogilvie syndrome. The Ogilvie syndrome is a peculiar form of acute intestinal obstruction characterized by acute dilatation of the colon without obstruction of its distal portions and often developing against the background of other grave diseases. For a timely diagnosed pathology the conservative treatment including a colonoscopic decompression of the colon and epidural anesthesia++ proved to be effective. In cases of ineffective conservative measures a cecostomy was put, resection of the injured portion was used for necrosis and perforation of the over-stretched++ gut.
作者观察了3例奥吉尔维综合征患者。奥吉尔维综合征是一种特殊形式的急性肠梗阻,其特征为结肠急性扩张而远端无梗阻,且常发生于其他严重疾病背景下。对于及时诊断的该病理情况,包括结肠镜下结肠减压和硬膜外麻醉在内的保守治疗被证明是有效的。在保守措施无效的情况下,进行盲肠造口术,对于过度扩张肠段的坏死和穿孔则采用受损部分切除术。