Life-saving treatment by fluid resuscitation and a thoracotomy in a case of XXXX .

@entity1 @entity548 @entity358 @entity1913 @entity99 @entity130
CASE: A 41-year-old @entity1 survived @entity99 by treatment with fluid resuscitation, blood transfusion, thoracotomy, and transcatheter hepatic artery embolization. The @entity1 was transferred to our hospital 46 minutes after his motorbike struck a station wagon from behind. @entity548 with systolic blood pressure of 68 mmHg was observed. He showed nonresponse to 20-minute intravenous infusion of 1,500 mL of lactated Ringer's solution. The initial plain chest radiograph showed mediastinal deviation to the left, radio-opacity of the right lower lobe, and decreased radiolucency of the right thorax. Rapid drainage of 800 mL of blood through a right chest tube led to a diagnosis of a @entity358 of the right lower lobe. Abdominal computed tomography revealed another deep laceration affecting 40% of the liver. A right lower lobectomy of the lung was performed at 169 minutes after arrival. After the thoracotomy,transcatheter arterial embolization of the right hepatic artery was performed. The @entity1 was discharged on hospital day 57. CONCLUSION: Prompt diagnosis and appropriate treatment are necessary to save @entity1 with multiple, severe @entity1913 . Advanced @entity130 Life Support (ATLS) guidelines should be adhered to for appropriate early treatment of @entity1 with severe @entity130 .
