Tabibian N, Schwartz J T, Smith J L, Graham D Y
Surgery. 1987 Sep;102(3):546-7.
Sclerotherapy was used in the treatment of a patient with actively bleeding esophageal varices. Chest pain and a pericardial friction rub became evident on the day after sclerotherapy and resolved without therapy. Six months later the patient manifested cardiac tamponade which required pericardiectomy. The events of this case suggest that chronic pericarditis with cardiac tamponade was a direct complication of sclerotherapy. This report extends the range of reported complications and emphasizes the importance of follow-up of patients in whom transient pericardial friction rub develops after sclerotherapy.
硬化疗法被用于治疗一名患有活动性出血性食管静脉曲张的患者。硬化疗法后第二天出现胸痛和心包摩擦音，未经治疗即缓解。六个月后患者出现心脏压塞，需要进行心包切除术。该病例的情况表明，伴有心脏压塞的慢性心包炎是硬化疗法的直接并发症。本报告扩大了已报道并发症的范围，并强调了对硬化疗法后出现短暂心包摩擦音的患者进行随访的重要性。
