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Intensivtherapie bei Abdominalverletzungen

Die Intensivmedizin

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Man unterscheidet stumpfe von penetrierenden Traumata. Bei den stumpfen Gewalteinwirkungen sind die parenchymatösen Organe durch direkten Anprall, Scherkräfte und Dezeleration gefährdet. Penetrierende Stich-, Schuss- oder Pfählungstraumata führen v. a. zu Verletzungen der Hohlorgane. Abdominalverletzungen genießen in der Unfallchirurgie höchste Behandlungspriorität. Die operative Therapie einer abdominalen Monoverletzung wird in der Regel in einer Sitzung vorgenommen. Ist die Abdominalverletzung Teil einer Mehrfachverletzung/Polytrauma, ist es günstiger, die chirurgische Versorgung in Etappen durchzuführen. Für komplexe abdominelle Verletzungen hat sich deswegen, parallel zum Versorgungskonzept der Frakturstabilisierung durch Fixateur externe und späterem Verfahrenswechsel, beim Polytrauma das Prinzip der „damage control“ durchgesetzt.

In diesem Kapitel ist die intensivmedizinische Versorgung dieser schwer verletzten Patienten dargestellt.

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Authors and Affiliations

  1. Abt. für Allgemein- und Traumachirurgie, Berufsgenossenschaftliche Unfallklinik Murnau, Professor-Küntscher-Str. 8, 82418, Murnau/Staffelsee, Deutschland

    Michael Lang, Christian Hierholzer & Alexander Woltmann

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  1. Michael Lang
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  2. Christian Hierholzer
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  3. Alexander Woltmann
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Correspondence to Michael Lang .

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Editors and Affiliations

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

    Gernot Marx

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

    Elke Muhl

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

    Kai Zacharowski

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Lang, M., Hierholzer, C., Woltmann, A. (2015). Intensivtherapie bei Abdominalverletzungen. In: Marx, G., Muhl, E., Zacharowski, K. (eds) Die Intensivmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54675-4_92-1

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  • DOI: https://doi.org/10.1007/978-3-642-54675-4_92-1

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  • Online ISBN: 978-3-642-54675-4

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Chapter history

  1. Latest

    Intensivtherapie bei Abdominalverletzungen
    Published:
    18 October 2022

    DOI: https://doi.org/10.1007/978-3-642-54675-4_92-2

  2. Original

    Intensivtherapie bei Abdominalverletzungen
    Published:
    20 April 2015

    DOI: https://doi.org/10.1007/978-3-642-54675-4_92-1

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