1例带状疱疹致Ogilvie综合征并文献资料回顾
发布时间:2018-05-27 20:50
本文选题:Ogilvie综合征 + 带状疱疹 ; 参考:《中外医疗》2016年33期
【摘要】:目的探讨分析该院近期收治的1例带状疱疹致Ogilvie综合征的临床特点,治疗及预后情况并回顾Ogilvie综合征的相关文献资料。方法该院2013年1月—2016年7月共收治90余例肠梗阻病人,其中1例为状疱疹致Ogilvie综合征即急性假性结肠梗阻,给予综合性治疗。结果通过积极对症治疗,患者肠梗阻缓解。结论具有机械性肠梗阻的症状和体征,实际并不存在肠道器质性病变,该类肠梗阻称假性肠梗阻,包括急性假性结肠梗阻、慢性假性结肠梗阻、假性小肠梗阻等。急性假性结肠梗阻又称为Ogilvie综合征。临床上带状疱疹致Ogilvie综合征不多见。Ogilvie综合征易发生穿孔等严重并发症,临床死亡率较高,需仔细鉴别,综合分析,以尽早缓解梗阻。
[Abstract]:Objective to analyze the clinical features, treatment and prognosis of a case of herpes zoster induced Ogilvie syndrome in our hospital and to review the literature on Ogilvie syndrome. Methods from January 2013 to July 2016, more than 90 patients with intestinal obstruction were treated in our hospital. One of them was herpes zoster induced Ogilvie syndrome (acute pseudocolonic obstruction). Results through active symptomatic treatment, the intestinal obstruction of the patients was relieved. Conclusion there are symptoms and signs of mechanical intestinal obstruction, but there is no organic intestinal disease. This kind of intestinal obstruction is called pseudointestinal obstruction, including acute pseudocolonic obstruction, chronic pseudocolonic obstruction, pseudo-small intestinal obstruction and so on. Acute pseudocolonic obstruction is also known as Ogilvie syndrome. Ogilvie syndrome caused by herpes zoster is rarely seen in clinic. Ogilvie syndrome is prone to severe complications such as perforation. The clinical mortality rate is high. It is necessary to distinguish carefully and analyze comprehensively in order to relieve obstruction as soon as possible.
【作者单位】: 武警江苏总队医院消化科;
【分类号】:R752.12;R574.62
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