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Thoraxtrauma

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Die Intensivmedizin

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Zusammenfassung

Thoraxverletzungen spielen in der Traumatologie ein grosse und wichtige Rolle, da sie potenziell bereits am Unfallort lebensbedrohlich sein können und die Prognose wesentlich von einer zeitnahen Diagnose und Behandlung abhängig ist. Wichtig dabei ist, dass nebst der Verletzung des Thorax inklusive Weichteile alle Organe innerhalb aber auch in der Nachbarschaft (z. B. Leber, Milz, Darm) betroffen sein können. Unmittelbare Folgen können schwere Gasaustausstörungen, grosse Blutungen und Kompartmentsyndrome wie (Spannungs-) Pneumothorax, Hämatothorax, Perikardtamponade sein, die sehr zeitnah behandelt werden müssen um u. U. fatale Konsequenzen abzuwenden. Diagnostisch spielt nebst der Klinik die Bildgebung (Röntgen, Computertomografie, Ultraschall bzw. Echokardiografie) eine grosse Rolle und muss deshalb sehr niederschwellig verfügbar sein. Therapeutisch stehen die Sicherstellung eines suffizienten Gasaustausches, die Drainage von Luft und Blut sowie eine gute analgetische Behandlung im Vordergrund.

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Authors and Affiliations

  1. Hirslanden AG Hirslanden, Zuerich, Schweiz

    Reto Stocker

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  1. Reto Stocker
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Correspondence to Reto Stocker .

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Editors and Affiliations

  1. Klinik für Anästhesiologie, RWTH Aachen Universitätsklinikum Aachen, Aachen, Deutschland

    Gernot Marx

  2. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein Campus Lübeck, Lübeck, Deutschland

    Elke Muhl

  3. Dir. der Klinik fuer Anaesthesie Intensivmed. und Schmerzther., Frankfurt, Hessen, Deutschland

    Kai Zacharowski

  4. Medizinische Klinik 1, Universitätsklinikum Frankfurt, Frankfurt am Main, Hessen, Deutschland

    Stefan Zeuzem

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Stocker, R. (2022). Thoraxtrauma. In: Marx, G., Muhl, E., Zacharowski, K., Zeuzem, S. (eds) Die Intensivmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54675-4_91-2

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  • DOI: https://doi.org/10.1007/978-3-642-54675-4_91-2

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Chapter history

  1. Latest

    Thoraxtrauma
    Published:
    15 November 2022

    DOI: https://doi.org/10.1007/978-3-642-54675-4_91-2

  2. Original

    Intensivtherapie bei Thoraxtrauma
    Published:
    14 July 2015

    DOI: https://doi.org/10.1007/978-3-642-54675-4_91-1

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