title: [A frequent fiber-scopic bronchial lavege for the case of bilateral sever pulmonary contusion with flail chest].
abstract: A 26-year-old man was injured in the traffic accident. He had complicated chest trauma. He came to our hospital by ambulance immediately after rescued from crashed his automobile. He had severe pulmonary contusion with frail chest, pulmonary laceration, tension hemopneumothorax, and hypovolemic shock, and air embolism of the brain. He was managed with fiber-optic bronchoscopy under mechanical ventilation and chest drainage. Frequent broncho-scopic bronchial lavage of respiratory tract with thrombin and adrenaline solution was helpful to prevent anoxia due to complicated chest injury. He developed acute bacterial empyema and multiple organ failure due to septic shock during intensive care for trauma. However, he underwent surgical treatment for empyema and fully returned to his work after 6 months after his critical accident.
authors: Department of Thoracic Surgery, Hokushin General Hospital, Nakano, Japan.
authors: H
authors: H
authors: Hosoda
authors: K
authors: K
authors: Ooi
authors: T
authors: T
authors: Tsukahara
authors: E
authors: E
authors: Inaki
authors: Y
authors: Y
authors: Kataoka
authors: S
authors: S
authors: Chin
authors: M
authors: M
authors: Sunamori
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D018893:Bronchoalveolar Lavage / Q000295:instrumentation / Q000379:methods*; D003288:Contusions / Q000150:complications / Q000628:therapy*; D005336:Fiber Optic Technology; D005409:Flail Chest / Q000150:complications*; D006801:Humans; D055370:Lung Injury; D008297:Male; D055100:Optical Fibers; D013917:Thrombin / Q000627:therapeutic use
chemical_list: D013917:Thrombin