Snow N, Lucas A E
Am Surg. 1983 May;49(5):249-53.
The records of 36 patients who underwent subxiphoid pericardiotomy were reviewed to determine the safety, accuracy, and utility of the procedure. No deaths were attributed to the operation, and complications were minimal. Most operations were performed under local anesthesia. Findings at operation accurately defined which patients required further surgery and which did not. Although clinical, radiographic, and physical findings are inaccurate in determining the nature and extent of pericardial and intrapericardial pathology, a definitive diagnosis was obtained in all diagnostic procedures. Only one patient needed a second operation, attesting to the effectiveness of subxiphoid drainage as a therapeutic modality.
回顾了36例行剑突下心包切开术患者的记录，以确定该手术的安全性、准确性和实用性。手术无死亡病例，并发症极少。大多数手术在局部麻醉下进行。手术发现准确地确定了哪些患者需要进一步手术，哪些患者不需要。尽管临床、影像学和体格检查结果在确定心包和心包内病变的性质和范围方面不准确，但所有诊断程序均获得了明确诊断。只有1例患者需要再次手术，这证明了剑突下引流作为一种治疗方式的有效性。
