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极限挑战:一名儿科患者奥吉尔维综合征的成功医学治疗

Stretched to the Max: The Successful Medical Management of Ogilvie Syndrome in a Pediatric Patient.

作者信息

Chiacchio Stephany, Lowe Merlin C

机构信息

Pediatrics/Emergency Medicine, The University of Arizona, Banner-Diamond Children's Medical Center, Tucson, USA.

Pediatrics/Hospital Medicine, The University of Arizona, Banner-Diamond Children's Medical Center, Tucson, USA.

出版信息

Cureus. 2021 Apr 15;13(4):e14506. doi: 10.7759/cureus.14506.

Abstract

Ogilvie syndrome, or acute colonic pseudo-obstruction, is a rare disease in adults, and it is seldom seen in pediatric patients. It was first described in 1948 by Dr. William Ogilvie. Unless promptly recognized and treated, it carries the risk of colonic ischemia and perforation. In this report, we present the case of a 10-year-old patient who developed Ogilvie syndrome and was successfully treated with conservative medical management including bowel rest, rectal decompression, along with the addition of erythromycin. The patient responded well to the treatment and was able to be discharged home without event.

摘要

奥吉尔维综合征,即急性结肠假性梗阻,是一种在成人中罕见的疾病,在儿科患者中很少见。它于1948年由威廉·奥吉尔维医生首次描述。除非能迅速识别并治疗,否则它会有结肠缺血和穿孔的风险。在本报告中,我们介绍了一名10岁患者的病例,该患者患上了奥吉尔维综合征,并通过包括肠道休息、直肠减压以及加用红霉素在内的保守药物治疗成功治愈。患者对治疗反应良好,得以顺利出院回家。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/658e/8124019/26c7f90fd0c8/cureus-0013-00000014506-i01.jpg

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