Polytrauma und Komplikationsmanagement
作者： Norbert Harrasser , Peter Biberthaler
DOI: 10.1007/978-3-662-44463-4_6
关键词:
摘要: Definition „Polytrauma„ Gleichzeitig entstandene Verletzungen mehrerer Korperregionen/Organsysteme, wobei wenigstens eine Verletzung oder die Kombination vital bedrohlich ist Verletzungsschwere nach ISS ≥ 16 und einer Ganzkorperentzundung (SIRS) mit konsekutiver Dysfunktion/Versagen primar nicht verletzter Organe vitaler Systeme ISS 25: schweres Polytrauma Abzugrenzen vom Polytrauma Mehrfachverletzung ohne vitale Bedrohung Barytrauma: Schwere, lebensbedrohliche Einzelverletzung Klassifikationen Glasgow-Coma-Scale (GCS) zur Schwerebeurteilung eines Schadel-Hirn-Traumas, Abbreviated Injury Score (AIS), Severity (ISS), Mangled Extremity (MESS) (Tab. 6.1, 6.2, 6.3) Epidemiologie Deutschland: ca. 31.000 Patienten/Jahr, mittleres Alter 40 Jahre 70 % Strasenverkehr 60 fruher Morgen/spater Nachmittag, 30 Wochenende
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