<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942023000300023</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Derrame pleural paraneumónico. Uso de fibrinolíticos intraeural en UCIP y sus posibles complicaciones]]></article-title>
<article-title xml:lang="en"><![CDATA[Paraneumonic pleural effusion. Use of intraeural fibrinolytics in PICU and its possible complications]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Llamazares-Pérez]]></surname>
<given-names><![CDATA[Idairys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Porras-Suárez]]></surname>
<given-names><![CDATA[Talia Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pino]]></surname>
<given-names><![CDATA[Ana Margarita Valdés-del]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río. Hospital Pediátrico Provincial Docente Pepe Portilla. ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río  ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>27</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942023000300023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942023000300023&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942023000300023&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: En las últimas décadas se ha observado un aumento de la prevalencia del derrame pleural paraneumónicos. La fibrinólisis intrapleural para el tratamiento permite destruir los puentes de fibrina facilitando el drenaje, pero no está exento de complicaciones.  Objetivo: describir el uso de fibrinolíticos y sus posibles complicaciones hematológicas en el derrame pleural paraneumónico.  Métodos: se realizó una revisión bibliográfica sobre el derrame pleural paraneumónico Se expresó criterios de autores y resultados de investigaciones disponibles en las bases de datos SciELO, Medline, PubMED. Se empleó un total de 30 referencias bibliográficas, más del 75 % de la literatura consultada corresponde a los últimos cinco años.  Desarrollo: El derrame pleural puede ir desde la aparición de escaso líquido seroso en la cavidad pleural, hasta un exudado fundamentalmente de origen bacteriano. La situación clínica, el tamaño del derrame y sus características son determinantes de la toma de decisiones.  Conclusiones: El derrame pleural en los últimos 10 años se ha reportado un aumento en su incidencia, específicamente de etiología neumocócica y estafilococcica. El tratamiento consiste en la administración de antibiótico asociado a fibrinolíticos y/o tratamiento quirúrgico. Entre los fibrinolíticos a emplear está la Estreptoquinasa. Su indicación será en el derrame complejo. La complicación más frecuente a nivel pleural es le hemorragia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: An increase in the prevalence of parapneumonic pleural effusion has been observed in recent decades. Intrapleural fibrinolysis for treatment allows destruction of fibrin bridges facilitating drainage, but it is not without complications.  Objective: to describe the use of fibrinolytics and its possible hematologic complications in parapneumonic pleural effusion.  Methods: a bibliographic review on parapneumonic pleural effusion was carried out. Author criteria and research results available in SciELO, Medline, PubMED databases were expressed. A total of 30 bibliographic references were used, more than 75 % of the literature consulted corresponds to the last five years.  Development: Pleural effusion can range from the appearance of scarce serous fluid in the pleural cavity to an exudate mainly of bacterial origin. The clinical situation, the size of the effusion and its characteristics are determinants of decision making.  Conclusions: Pleural effusion in the last 10 years an increase in its incidence has been reported, specifically of pneumococcal and staphylococcal etiology. Treatment consists of antibiotic administration associated with fibrinolytics and/or surgical treatment. Among the fibrinolytics to be used is streptokinase. Its indication will be in complex effusion. The most frequent complication at pleural level is hemorrhage.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[DERRAME PLEURAL]]></kwd>
<kwd lng="es"><![CDATA[ESTREPTOQUINASA]]></kwd>
<kwd lng="es"><![CDATA[NEUMONÍA]]></kwd>
<kwd lng="en"><![CDATA[PLEURAL EFFUSION]]></kwd>
<kwd lng="en"><![CDATA[STREPTOKINASE]]></kwd>
<kwd lng="en"><![CDATA[PNEUMONIA]]></kwd>
</kwd-group>
</article-meta>
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