Acea Nebril B, Parajó Calvo A, Taboada Filgueira L, Sánchez González F, Blanco Freire N
Servicio de Cirugía General A Hospital, Juan Canalejo, La Coruña.
Rev Esp Enferm Dig. 1993 Sep;84(3):197-9.
Acute pseudo-obstruction of the colon (APC), popularly known as Ogilvie's syndrome, has been the subject of numerous medical communications in the past two decades. In this paper three patients with APC managed surgically are presented. In two patients cecal perforation developed; in the third patient a discharge cecostomy was carried out because of a caecal diameter of 16 cm. Indications for the operative management of these patients include pneumoperitoneum, development of peritonitis in the area of the cecum, continued cecal distention after 48-72 hours of therapy with or without colonoscopy, cecal diameter greater than 12 cm, respiratory failure and uncertain diagnosis.
结肠急性假性梗阻（APC），俗称奥吉尔维综合征，在过去二十年里一直是众多医学交流的主题。本文介绍了三名接受手术治疗的APC患者。两名患者发生了盲肠穿孔；第三名患者因盲肠直径达16厘米而进行了造口术。这些患者手术治疗的指征包括气腹、盲肠区域发生腹膜炎、在进行或未进行结肠镜检查的情况下治疗48 - 72小时后盲肠持续扩张、盲肠直径大于12厘米、呼吸衰竭以及诊断不明确。
