Lebensbedrohliche Blutungen im Rahmen von penetrierenden Verletzungen View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-11

AUTHORS

P. Lichte, C. Waydhas, P. Kobbe

ABSTRACT

Penetrierende Verletzungen entstehen meist durch Schuss- oder Stichwaffen und sind daher in Deutschland relativ selten. Durch Verletzungen großer Gefäße kann es zu lebensgefährlichen Blutungen kommen, wobei der Zeitpunkt bis zur operativen Versorgung der entscheidende Überlebensfaktor ist. Deshalb wird präklinisch die „scoop and run“-Strategie mit permissiver Hypotonie favorisiert, um den Patienten möglichst schnell operativ versorgen zu können. Die Indikationen zur Thorakotomie und Laparotomie sind insbesondere vom hämodynamischen Zustand des Patienten abhängig, wobei die Kombination aus penetrierender Torsoverletzung und hämodynamischer Instabilität immer eine Indikation zur Notfalloperation darstellt. Die klinische Volumentherapie ist ein wichtiger Bestandteil der Notfalltherapie, jedoch darf sie niemals die operative Versorgung verzögern. More... »

PAGES

502-506

References to SciGraph publications

  • 2003-11. Adäquates Management von Stich- und Schussverletzungen in DER CHIRURG
  • 2002-10. Permissive Hypotension beim schweren Trauma in DER ANAESTHESIST
  • 2006-10. Thoraxtrauma in DER UNFALLCHIRURG
  • 1998-02. Abdominal trauma in DER UNFALLCHIRURG
  • 2009-03. Präklinische Tourniquet-Applikation in NOTFALL + RETTUNGSMEDIZIN
  • 2009-04. Management der Gerinnungsstörung bei traumainduzierter Hypovolämie und (un-)kontrollierter Blutung in NOTFALL + RETTUNGSMEDIZIN
  • 2004-10. Diagnostik und sofortige Therapiemaßnahmen bei Verletzungen des Thorax in DER UNFALLCHIRURG
  • 2007-05. Coagulopathy: Its Pathophysiology and Treatment in the Injured Patient in WORLD JOURNAL OF SURGERY
  • 2009-04. Präklinische Volumentherapie beim Trauma in NOTFALL + RETTUNGSMEDIZIN
  • Journal

    TITLE

    Notfall + Rettungsmedizin

    ISSUE

    7

    VOLUME

    12

    Author Affiliations

    Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10049-009-1187-0

    DOI

    http://dx.doi.org/10.1007/s10049-009-1187-0

    DIMENSIONS

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