Tan A C K, Olde Rikkert M G M, Groenen M J
Afdeling geriatrie, Elkerliek ziekenhuis, Helmond, The Netherlands,
Tijdschr Gerontol Geriatr. 2014 Jun;45(3):164-9. doi: 10.1007/s12439-014-0071-7.
Two patients presented with the Ogilvie syndrome which is an acute colonic pseudo-obstruction without any mechanical obstruction. Both patients suffered from multiple medical conditions such as infections, electrolyte disturbances and functional decline.The Ogilvie syndrome is particularly seen in patients with multimorbidity who stay in the hospital or nursing home. The incidence of the Ogilvie syndrome will probably increase because of ageing of our population and will be most prevalent in the frail elderly. The precise mechanism of this disease is still unclear, but there is evidence in the literature that the aetiology is multifactorial and runs via autonomic dysregulation of the colon.Early recognition and appropriate treatment may reduce the risk of complications and limit mortality, also depending on the related comorbidity.
两名患者出现奥吉尔维综合征，这是一种无任何机械性梗阻的急性结肠假性梗阻。两名患者都患有多种疾病，如感染、电解质紊乱和功能衰退。奥吉尔维综合征在住院或养老院的多发病患者中尤为常见。由于我国人口老龄化，奥吉尔维综合征的发病率可能会增加，并且在体弱的老年人中最为普遍。这种疾病的确切机制仍不清楚，但文献中有证据表明其病因是多因素的，且通过结肠自主神经调节异常起作用。早期识别和适当治疗可能会降低并发症风险并限制死亡率，这也取决于相关的合并症。
