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  • Title: [Experience of damage control as the primary surgery for thoraco-abdominal injury with hemorrhagic shock].
    Author: Moriwaki Y, Kato M, Toyoda H, Kosuge T, Harunari N, Iwashita M, Tahara Y, Suzuki N.
    Journal: Kyobu Geka; 2010 Feb; 63(2):112-5. PubMed ID: 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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