• Kyobu Geka · Feb 2010

    Case Reports

    [Experience of damage control as the primary surgery for thoraco-abdominal injury with hemorrhagic shock].

    • Yoshihiro Moriwaki, Makoto Kato, Hiroshi Toyoda, Takayuki Kosuge, Nobuyuki Harunari, Masayuki Iwashita, Yoshio Tahara, and Noriyuki Suzuki.
    • Critical Care and Emergency Medical Center, Yokohama City University Medical Center, Yokohama, Japan.
    • Kyobu Geka. 2010 Feb 1; 63 (2): 112-5.

    AbstractWe 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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