Emergency pneumonectomy for penetrating and blunt XXXX .

@entity1 @entity712 @entity548 @entity3126 @entity651 @entity3485 @entity952 @entity1162 @entity67 @entity130
Emergency pneumonectomy for penetrating and blunt @entity130 has an attendant high mortality. @entity1 with @entity651 presenting with @entity1162 followed by control of @entity548 , resuscitation with or without aortic cross-clamping and pneumonectomy have had uniformly unsatisfactory results. From 1972 to 1982, eight @entity1 at the University of Louisville Hospital underwent emergency pneumonectomy. All @entity1 underwent expeditious evaluation, resuscitation, and thoracotomy with pneumonectomy. Three @entity1 died of exsanguination (2 @entity1 had major associated intra-abdominal injuries). Three other @entity1 died due to @entity3126 and @entity67 2 to 3 hours after @entity548 had been controlled and intravascular volume restored. Aortic cross-clamping was employed in four @entity1 due to persistent @entity3485 with 100 per cent mortality. Of the two surviving @entity1 , one presented with stable blood pressure and had pneumonectomy for @entity952 , while the other had pneumonectomy for tangential laceration of the lung at the hilum. @entity3126 and @entity67 were responsible for mortality following emergency pneumonectomy and control of @entity548 and restoration of blood volume. The addition of aortic cross-clamping did not seem to alter survival and may, indeed, hinder therapy due to increased vascular afterload and increased @entity712 and @entity3126 .
