内镜下硬化剂注射术致纵隔相关并发症的临床特征

发布时间：2018-06-29 15:25

本文选题：内镜下硬化剂注射术 + 食管静脉曲张出血　；参考：《中国内镜杂志》2017年02期

【摘要】：目的内镜下硬化治疗是食管静脉曲张破裂出血的重要治疗方式,纵隔相关并发症是其严重并发症之一;探讨纵隔相关并发症患者的临床特点。方法分析该中心2014年1月-2016年5月行食管静脉曲张内镜下硬化治疗患者的临床资料,结合相关文献,以期了解内镜下硬化治疗并发纵隔相关并发症的临床特点。结果共有140例食管静脉曲张行硬化治疗(男89例,女51例),均无术中明显活动性出血,其中发生纵隔相关并发症2例,分别为纵隔胸膜瘘和纵隔炎并血性胸腔积液。并发症早期发现后经积极治疗预后尚可。结论食管静脉曲张破裂出血行内镜硬化治疗疗效可,存在纵隔相关并发症可能,一般与多次操作、操作过程中注射针形成血管对穿等因素相关。
[Abstract]:Objective Endoscopic sclerotherapy is an important treatment for esophageal variceal bleeding, mediastinal complications are one of the serious complications, and the clinical features of patients with mediastinal complications are discussed. Methods the clinical data of patients with esophageal variceal endoscopic sclerosis from January 2014 to May 2016 were analyzed and the clinical features of endoscopic sclerosis with mediastinal complications were analyzed. Results there were 140 cases of esophageal varices treated with sclerotherapy (89 males and 51 females). There was no significant active bleeding during operation. Mediastinal complications occurred in 2 cases, including mediastinal pleural fistula and mediastinal inflammation with hemorrhagic pleural effusion. After early detection of complications, the prognosis was good after active treatment. Conclusion esophageal variceal bleeding can be treated by endosclerotic sclerosing. Mediastinal complications may be associated with multiple operations and angioplasty with needle injection during operation.
【作者单位】：武汉大学人民医院消化内科;
【基金】：湖北省卫生和计划生育委员会西医类一般项目(No:WJ2015MB091)
【分类号】：R575.2

【相似文献】