带状疱疹致Ogilvie综合征1例及文献复习  

Herpes zoster-induced Ogilvie's syndrome: a case report and literature review

作　　者：王凯[1] 程宪永[1] 刘海燕[1] 贾兴芳[1] 李锟[1] 陈艳 刘成霞[1] Wang Kai;Cheng Xianyong;Liu Haiyan;Jia Xingfang;Li Kun;Chen Yan;Liu Chengxia(Department of Gastroenterology,Binzhou Medical University Hospital,Binzhou 256600,China)

机构地区：[1]滨州医学院附属医院消化内科,滨州256600

出　　处：《国际医药卫生导报》2022年第23期3257-3259,共3页International Medicine and Health Guidance News

基　　金：国家自然科学基金资助项目(81700472)。

摘　　要：目的分析带状疱疹致奥格尔维综合征(Ogilvie’s syndrome,简称Ogilvie综合征)的临床表现、诊断及治疗经过,提高临床医师对Ogilvie综合征的认识。方法收集2020年12月24日滨州医学院附属医院收治的1例带状疱疹引起Ogilvie综合征的患者的临床资料,并结合相关文献,分析其致病机制。结果患者,男,72岁,因“肛门停止排便7 d,加重伴腹痛3 d”入院,结合患者症状及影像学检查,考虑诊断为肠梗阻,经过细致的查体发现患者患有带状疱疹,故诊断为Ogilvie综合征,经积极治疗后,患者症状明显好转,顺利出院。结论带状疱疹致Ogilvie综合征临床报道较少,临床医师对其认识不足,通过此次病例报道加深对Ogilvie综合征的认识,尤其是对带状疱疹引起的Ogilvie综合征,早期抗病毒治疗是非常重要的。同时在疾病诊治的过程中,不能仅仅依靠影像学检查,入微细致的查体仍然是必须的。Objective To analyze the clinical manifestations,diagnosis,and treatment of Ogilvie's syndrome caused by herpes zoster,and to improve the understanding of physicians about Ogilvie's syndrome.Methods The clinical data of a patient with Ogilvie's syndrome caused by herpes zoster treated at Binzhou Medical University Hospital on December 24,2020 were collected,and the relevant literatures were reviewed,and its pathogenic mechanism was analyzed.Results The male patient was 72 years old,and was hospitalized because of no anus defecation for 7 days and being worsened with abdominal pain for 3 days.Combined with the patient's symptoms and imaging examinations,the diagnosis of intestinal obstruction was considered,and he was found with herpes zoster,so Ogilvie's syndrome was diagnosed.After the active treatment,the patient's symptoms improved significantly and he was discharged lastly.Conclusions There are few clinical reports on Ogilvie's syndrome caused by herpes zoster,and physicians do not know enough about it.Through this case report,we can deepen our understanding of Ogilvie's syndrome,especially for Ogilvie's syndrome caused by herpes zoster,and early antiviral treatment is very important.Besides imaging examinations,detailed physical examinations are still necessary in the process of disease diagnosis and treatment.

关 键 词：带状疱疹 OGILVIE综合征 

分 类 号：R752.12[医药卫生—皮肤病学与性病学] R593.3[医药卫生—临床医学]