Schembre D, Bjorkman D J
Division of Gastroenterology, Salt Lake City VA Medical Center, Utah.
Am J Gastroenterol. 1991 Apr;86(4):481-6.
Endoscopic variceal sclerotherapy has been associated with a number of complications. Peritonitis after sclerotherapy has rarely been reported. In this retrospective review of 213 consecutive sclerotherapy procedures among 65 patients over a 3-yr period, we found that six cases of peritonitis occurred, for an incidence of approximately 3%. All patients developing post-sclerotherapy peritonitis had low ascitic fluid protein. However, this did not differ from patients who did not develop peritonitis. No patient on antibiotics at the time of sclerotherapy developed peritonitis. Peritonitis should be considered in the diagnosis of post-sclerotherapy fever. The role of prophylactic antibiotics to prevent this complication is uncertain.
内镜下静脉曲张硬化疗法会引发多种并发症。硬化疗法后发生腹膜炎的情况鲜有报道。在对65例患者连续3年进行的213次硬化疗法的回顾性研究中，我们发现有6例发生腹膜炎，发生率约为3%。所有发生硬化疗法后腹膜炎的患者腹水蛋白含量均较低。然而，这与未发生腹膜炎的患者并无差异。硬化疗法时使用抗生素的患者均未发生腹膜炎。在诊断硬化疗法后发热时应考虑到腹膜炎。预防性使用抗生素预防这种并发症的作用尚不确定。
