Lee J Y, Moon S H, Lee S M, Kim H T, Uh S, Kim Y H, Park C S
Department of Internal Medicine, Soonchunhyang University Hospital, Seoul, Korea.
Korean J Intern Med. 1994 Jul;9(2):125-7. doi: 10.3904/kjim.1994.9.2.125.
Endoscopic injection of sclerosing agents is a strategy for control of esophageal varix bleeding. Five percent solution of ethanolamine oleate(EO) has been used as sclerosing agent. It is well known that intravascular injection of oleic acid induces acute respiratory failure in animal models. However, EO-induced noncardiogenic pulmonary edema has not been reported in human. We report a case of noncardiogenic pulmonary edema developed after therapeutic trial of EO as sclerosing agent for esophageal varix.
内镜下注射硬化剂是控制食管静脉曲张出血的一种策略。5%油酸乙醇胺（EO）溶液已被用作硬化剂。众所周知，在动物模型中，血管内注射油酸会诱发急性呼吸衰竭。然而，EO诱发的非心源性肺水肿在人类中尚未见报道。我们报告一例在使用EO作为食管静脉曲张硬化剂进行治疗性试验后发生非心源性肺水肿的病例。
