Alegre R A, Nieto R
Servicio de Cirugía General, Hospital Santo Tomás.
Rev Med Panama. 1993 May;18(2):140-4.
Subxiphoid drainage of chronic or persistent effusion was done on five patients (three women and two men) in a twelve-month period. The average age was 30 years. All patients had symptoms and two had a diagnosis of cardiac tamponade. Every patient had an echocardiogram. Subxiphoid drainage was done by creating a pericardial window. Three patients were done with local and two under general anesthesia. There was no morbidity or mortality, associated with the procedure. Two of the effusions were idiopathic and one each was purulent, uremic or metastatic. The patients were followed for an average of 6.5 months and all remained asymptomatic and without evidence of recurrent pericardial effusion. This procedure is effective in the treatment of persistent pericardial effusions. It is an easy and fast operation with low morbidity and mortality, which allows it to be used in patients who are high surgical risks.
在12个月期间，对5例患者（3名女性和2名男性）进行了剑突下慢性或持续性积液引流。平均年龄为30岁。所有患者均有症状，2例诊断为心脏压塞。每位患者均进行了超声心动图检查。通过创建心包窗口进行剑突下引流。3例在局部麻醉下完成，2例在全身麻醉下完成。该手术未出现并发症或死亡。积液中2例为特发性，1例为脓性、1例为尿毒症性、1例为转移性。患者平均随访6.5个月，均无症状，且无复发性心包积液的证据。该手术在治疗持续性心包积液方面有效。它是一种简单快捷的手术，发病率和死亡率低，适用于手术风险高的患者。
