Edling J E, Bacon B R
Section of Gastroenterology and Hepatology, Louisiana State University School of Medicine, Shreveport.
Chest. 1991 May;99(5):1252-7. doi: 10.1378/chest.99.5.1252.
The most common pulmonary complication of EVS is pleural effusion. The most clinically significant pulmonary complication of EVS is delayed perforation with formation of esophagopleural or esophagobronchial fistula. Pneumonia, empyema, pulmonary infarction, and atelectasis can also occur. Endoscopic variceal sclerotherapy probably does not cause ARDS, but that issue remains unsettled. Transient relative pulmonary hypertension during EVS is probably of no clinical significance, but caution is urged when sclerosing varices in a patient with borderline right heart function.
内镜下硬化剂注射治疗（EVS）最常见的肺部并发症是胸腔积液。EVS临床上最严重的肺部并发症是延迟穿孔并形成食管胸膜瘘或食管支气管瘘。肺炎、脓胸、肺梗死和肺不张也可能发生。内镜下静脉曲张硬化治疗可能不会导致急性呼吸窘迫综合征（ARDS），但这个问题仍未解决。EVS期间短暂的相对性肺动脉高压可能无临床意义，但在右心功能临界的患者中进行静脉曲张硬化治疗时需谨慎。
