1例帶狀皰疹致Ogilvie綜合征并文獻資料回顧
發(fā)布時間:2018-05-27 20:50
本文選題:Ogilvie綜合征 + 帶狀皰疹。 參考:《中外醫(yī)療》2016年33期
【摘要】:目的探討分析該院近期收治的1例帶狀皰疹致Ogilvie綜合征的臨床特點,治療及預后情況并回顧Ogilvie綜合征的相關文獻資料。方法該院2013年1月—2016年7月共收治90余例腸梗阻病人,其中1例為狀皰疹致Ogilvie綜合征即急性假性結腸梗阻,給予綜合性治療。結果通過積極對癥治療,患者腸梗阻緩解。結論具有機械性腸梗阻的癥狀和體征,實際并不存在腸道器質性病變,該類腸梗阻稱假性腸梗阻,包括急性假性結腸梗阻、慢性假性結腸梗阻、假性小腸梗阻等。急性假性結腸梗阻又稱為Ogilvie綜合征。臨床上帶狀皰疹致Ogilvie綜合征不多見。Ogilvie綜合征易發(fā)生穿孔等嚴重并發(fā)癥,臨床死亡率較高,需仔細鑒別,綜合分析,以盡早緩解梗阻。
[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.
【作者單位】: 武警江蘇總隊醫(yī)院消化科;
【分類號】:R752.12;R574.62
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