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应用鱼肝油酸钠对食管曲张静脉作硬化治疗(EVS)后,40％～50％的病人可发生胸腔积液(PE)。与鱼肝油酸钠相比,无水酒精可产生更严重的食管坏死。本研究旨在了解无水酒精注射后PE发生率、PE形成时间和最终结局,以及PE与胸痛、食管溃疡形成、发热、腹水、注射量之间的关系。 材料和方法:对31例近期食管曲张静脉出血史者应用无水酒精共作了77次选择性EVS。采用不加辅助设备的徒手操作法,在每一曲张静脉穿刺点注射<1ml的无水酒精。术后1周或发生再出血时再行EVS。所有病人在EVS前、术后24小时、48小时、7
Pleural effusion (PE) can occur in 40% to 50% of patients after application of cod liver oil sodium for sclerosis of the esophageal varices. Anhydrous alcohol produces more severe esophageal necrosis than sodium morrhuate. The purpose of this study was to understand the incidence of PE after PEI, PE formation time and the final outcome, and the relationship between PE and chest pain, esophageal ulcer formation, fever, ascites and injection volume. Materials and Methods: A total of 77 selective EVSs were performed on 31 patients with recent history of esophageal variceal bleeding using anhydrous alcohol. Using no-hand equipment freehand method, in each varicose vein puncture point injection of <1ml of anhydrous alcohol. One week after surgery or rebleeding EVS. All patients before EVS, 24 hours after surgery, 48 hours, 7