[Experience of damage control as the primary surgery for thoraco-abdominal injury with hemorrhagic shock].
Kyobu Geka
; 63(2): 112-5, 2010 Feb.
Article
em Ja
| MEDLINE
| ID: mdl-20141077
ABSTRACT
We experienced a traumatic victim with thoracic and abdominal injury with hemorrhagic shock, who was successfully treated with damage control. Thoracic drainage revealed more than 300 ml/hour of continuous hemorrhage in the left thoracic cavity with 60-80 mmHg of non-responding hypotention. Although we performed emergency partial resection of the injured lung, intraabdominal packing and transcatheter arterial embolization, intrathoracic hemorrhage and hemorrhagic shock was not controlled. We decided re-thoracotomy and performed peri-pulmonary packing around the injured lung, by which we successfully controlled temporary intrathoracic hemorrhage and definitive left lower lobectomy. Peri-pulmonary packing was effective for intrathoracic hemostasis without lethal ventilatory and circulatory complication in this case.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Choque Hemorrágico
/
Traumatismos Torácicos
/
Técnicas Hemostáticas
/
Serviços Médicos de Emergência
/
Traumatismos Abdominais
Limite:
Adult
/
Humans
/
Male
Idioma:
Ja
Ano de publicação:
2010
Tipo de documento:
Article