[Management of thoracic trauma in multiple injuries in the clinic].
Injuries to the chest and lung are common in the polytraumatized patient. Clinical series have shown that on average 20% of all deaths following a polytrauma are caused by a chest trauma. The most common chest injuries are rip- and serial rip fractures with an unstable chest as well as pneumo- and hematothorax. Further common injuries to the lung parenchyma are lung contusions, lacerations and lung hematoma. The clinical outcome of chest injuries is closely related on a clear treatment strategy, with a sufficient preclinical assessment and early intubation, early temporary or definitive fracture stabilisation and implementation of intensive care and lung protective treatment rules.
Haas
N P
NP
Klinik für Unfall- und Wiederherstellungschirurgie, Charité, Campus Virchow, Augustenburger Platz 1, 13353 Berlin.
Schütz
M
M
Kaisers
U
U
D003422:Critical Care; D006801:Humans; D055370:Lung Injury; D009104:Multiple Trauma / Q000401:mortality / Q000601:surgery*; D012128:Respiratory Distress Syndrome / Q000401:mortality; D015996:Survival Rate; D013898:Thoracic Injuries / Q000401:mortality / Q000601:surgery*