Thiel E R, Bircks W
Department of Thoracic and Cardiovascular Surgery, Heinrich-Heine University, Düsseldorf, FRG.
Thorac Cardiovasc Surg. 1990 Dec;38(6):371-3. doi: 10.1055/s-2007-1014054.
The acute pseudo-obstruction of the colon or Ogilvie's syndrome is a rare surgical complication with an unknown pathogenesis. It is characterized by a distention of the large bowel without distal mechanical obstruction and a normal motility of the small bowel. The cause may be a postoperative imbalance between the sympathic and parasympathic innervation of the distal colon. In about one third of the cases a spontaneous perforation of the cecum develops, with a mortality of up to 50 per cent. We report the 5th case after cardiovascular surgery in the literature overall and the first in which conservative therapy successfully prevented perforation and laparotomy. An overview of the etiology, diagnosis, and treatment of this complication is given.
结肠急性假性梗阻或奥吉尔维综合征是一种罕见的手术并发症，发病机制不明。其特征为大肠扩张，无远端机械性梗阻，小肠蠕动正常。病因可能是远端结肠交感神经和副交感神经支配术后失衡。约三分之一的病例会发生盲肠自发性穿孔，死亡率高达50%。我们报告了文献中总体上心血管手术后的第5例病例，也是首例保守治疗成功预防穿孔和剖腹手术的病例。本文对该并发症的病因、诊断和治疗进行了综述。
