Abdominalverletzungen des polytraumatisierten Erwachsenen

摘要: Abdominal injuries are potentially life-threatening and occur in 20-25% of all polytraumatized patients. Blunt trauma is the main mechanism. The liver spleen most commonly injured much less often intestines. clinical evaluation proves equivocal many cases; therefore, gold standard computed tomography (CT), which has been increasingly used even hemodynamically weakly stable or sometimes unstable patients because it promptly provides precise diagnostic findings, present basis for successful therapy. Hemodynamically always need an exploratory laparotomy (EL). An EL should also be carried out with a positive focused assessment sonography (FAST) CT severe parenchymal lesions, hollow organ intraperitoneal bladder peritonitis evisceration, impalement lesions abdominal fascia. without signs a lack such findings can treated conservatively irrespective extent injury. Angiography (and if needed embolization) additionally diagnostically therapeutically utilized.