一、临床资料 病例1:患者王×,29岁。于1998年5月因“胎儿窘迫”在硬膜外麻醉下行腹膜外剖宫产术,手术顺利。术后14小时开始出现下腹胀痛,伴恶心,呕吐少许胃内容物,经腹部热敷未见好转,术后18小时腹痛加重,呈绞痛,以右下腹为重,查体:T38.1℃,P110次/分,BP15/8kPa,腹部膨隆,抠按,移动性浊音阴性,肠音减弱,腹部透视提示结肠胀气,无液平面,考虑为术后Ogilvie’s综合征,予胃肠减压,肛管排气,用肥皂水灌肠,1小时后腹胀、腹痛症状缓解。 病例2:丁×,26岁,于2000年4月因“社会因素”在硬膜外麻醉下行新式剖宫手术,手术顺利。术后6小时觉腹胀、腹痛, First, the clinical data Case 1: Patient ×, 29 years old. In May 1998 due to “fetal distress” in the epidural anesthesia underwent extraperitoneal cesarean section, the operation was successful. 14 hours after the onset of abdominal pain, with nausea, vomiting, a little stomach content, no improvement after abdominal heat, abdominal pain after 18 hours increased, angina pectoris to the right lower quadrant weight, physical examination: T38.1 ℃ , P110 beats / min, BP15 / 8kPa, abdominal distension, pull button, negative voiced negative mobility, decreased intestinal sounds, abdominal flatulence prompted flatulence, no liquid level, considered postoperative Ogilvie’s syndrome, gastrointestinal decompression, anal Tube exhaust, with soapy water enema, 1 hour after bloating, abdominal pain symptoms ease. Case 2: Ding ×, 26 years old, in April 2000 due to “social factors” in the new cesarean section epidural anesthesia surgery, the operation goes well. 6 hours after surgery to feel bloating, abdominal pain,