Diagnosis and Treatment of Acute Colonic Pseudo-Obstruction （Report of 24 Cases ）_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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楊建光 , 李曉霞 , 馬冬巖 , 孔凡民

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Keywords：

急性假性結腸梗阻,診斷,治療

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【摘要】目的探討急性假性結腸梗阻的臨床診斷與治療。方法回顧性分析24例急性假性結腸梗阻患者的臨床資料。
結果 24例患者均有機械性腸梗阻的臨床表現。12例經保守治療治愈； 6例經結腸鏡結合中西醫藥物治療治愈； 6例行手術治療，其中4例因誤診為器質性結腸梗阻而手術，2例死亡。結論要提高對急性假性結腸梗阻的認識，多數急性假性結腸梗阻可通過非手術方法治愈，在采取積極保守治療的同時，通過臨床仔細分析可與器質性結腸梗阻相鑒別，要嚴密觀察患者腹部體征，防止腸穿孔等并發癥的發生。

Citation： 楊建光,李曉霞,馬冬巖,孔凡民. Diagnosis and Treatment of Acute Colonic Pseudo-Obstruction （Report of 24 Cases ）. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2008, 15(3): 207-208. doi: Copy

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1. 6 張金書，劉宗英. 急性假性結腸梗阻3例誤診分析 [Ｊ]. 中國普外基礎與臨床雜志, 2004; 11（5）∶415.
2. 秦新裕, 雷勇. 假性腸梗阻和麻痹性腸梗阻 [Ｊ]. 中國實用外科雜志, 2000; 20(8)∶454.
3. Ogilvie WH. William Heneage Ogilvie 1887-1971. Large-intestine colic due to sympathetic deprivation. A new clinical syndrome [Ｊ]. Dis Colon Rectum， 1987; 30(12)∶984.
4. Nelson JD, Urban JA, Salsbury TL, et al. Acute colonic pseudo-obstruction (Ogilvie syndrome) after arthroplasty in the lower extremity [Ｊ]. J Bone Joint Surg Am， 2006; 88(3)∶604.
5. Norwood MG, Lykostratis H, Garcea G, et al. Acute colonic pseudo-obstruction following major orthopaedic surgery [Ｊ]. Colorectal Dis， 2005; 7(5)∶496.
6. Fraisse A, Brosse S, Manckoundia P, et al. Ogilvie syndrome in the elderly: retrospective study of 40 cases [Ｊ]. Presse Med， 2003; 32(32)∶1500.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Diagnosis and Treatment of Acute Colonic Pseudo-Obstruction （Report of 24 Cases ）

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