Brown D L, Luchi R J
Medical Service, Veterans Administration Medical Center, Houston.
Arch Intern Med. 1987 Dec;147(12):2169-70.
We report a case of suspected esophageal perforation with injection of a sclerosing agent into the pericardium during endoscopic sclerotherapy of esophageal varices. Immediately after the procedure, the patient developed fever and a pericardial friction rub. Eight months later, he presented with cardiac tamponade and constrictive pericarditis. This complication should be considered whenever a patient presents with inadequate cardiac output, venous congestion, and a pulsus paradoxus following sclerotherapy.
我们报告一例在食管静脉曲张内镜硬化治疗过程中向心包内注射硬化剂后疑似食管穿孔的病例。术后患者立即出现发热和心包摩擦音。八个月后，他出现了心脏压塞和缩窄性心包炎。每当患者在硬化治疗后出现心输出量不足、静脉淤血和奇脉时，都应考虑到这种并发症。
