文力,陈燕启.中枢系统疾病相关奥格尔维综合征2例并文献分析文力 韩兴 陈燕启[J].内科急危重症杂志,2017,23(3):
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| 中文关键词: 肠梗阻 奥格尔维综合征 中枢神经系统疾病 新斯的明 脊髓麻醉 |
| 英文关键词:Intestinal obstruction Ogilvie syndrome Central nervous system disease Neostigmine Spinal anesthesia |
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| 中文摘要: |
| 【】 急性假性肠梗阻又称奥格尔维综合征,是一种临床少见的结肠非机械性梗阻发生于急性胃肠功能损伤的严重阶段。通常因内环境的紊乱、药物、创伤或神经系统疾病而致肠自主神经功能紊乱。中枢系统疾病如脑血管病和神经脊髓炎等疾病可直接影响患者自主神经功能,当肠道受其影响时可出现奥格尔维综合症表现。与其他原因导致的假性肠梗阻不同,纠正内环境紊乱、胃肠管减压、红霉素等治疗通常效果不理想。新斯的明、溴吡斯的明、脊髓麻醉等治疗手段常可获得理想疗效。必要时肠镜减压、造瘘、手术切除病变肠段可作为治疗选择之一。 |
| 英文摘要: |
| 【】Acute colonic pseudo-obstruction, known by the eponym Ogilvie syndrome, is a rare but serious non mechanical obstruction of colon. It usually caused by internal environment disorders or colon autonomic nerve dysfunction lead by nervous system diseases. Central nervous system diseases such as cerebrovascular disease and neuromyelities may affect the autonomic nerve function directly, which may appear Ogilvie syndrome when intestinal affected. Unlike other causes of pseudo obstruction, correct internal environment disturbances, gastric tube decompression, erythromycin treatment effect is un-ideal, but ,neostigmine and spinal anesthesia treatment often obtain good effect. When necessary,colonoscopy decompression and surgery can be a choice. |
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