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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杨建光 , 李晓霞 , 马冬岩 , 孔凡民

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Keywords：

急性假性结肠梗阻,诊断,治疗

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【摘要】目的探讨急性假性结肠梗阻的临床诊断与治疗。方法回顾性分析24例急性假性结肠梗阻患者的临床资料。
结果 24例患者均有机械性肠梗阻的临床表现。12例经保守治疗治愈； 6例经结肠镜结合中西医药物治疗治愈； 6例行手术治疗，其中4例因误诊为器质性结肠梗阻而手术，2例死亡。结论要提高对急性假性结肠梗阻的认识，多数急性假性结肠梗阻可通过非手术方法治愈，在采取积极保守治疗的同时，通过临床仔细分析可与器质性结肠梗阻相鉴别，要严密观察患者腹部体征，防止肠穿孔等并发症的发生。

Citation： 杨建光,李晓霞,马冬岩,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 张金书，刘宗英. 急性假性结肠梗阻3例误诊分析 [Ｊ]. 中国普外基础与临床杂志, 2004; 11（5）∶415.
2. 秦新裕, 雷勇. 假性肠梗阻和麻痹性肠梗阻 [Ｊ]. 中国实用外科杂志, 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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