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Zentralbl Chir 2023; 148(01): 67-73
DOI: 10.1055/a-1972-3352
Thoraxchirurgie
Übersicht

Okkulter und residueller Hämatothorax nach Thoraxtrauma – Empfehlungen der interdisziplinären Arbeitsgruppe Thoraxtrauma der Sektion NIS der Deutschen Gesellschaft für Unfallchirurgie (DGU) und der Deutschen Gesellschaft für Thoraxchirurgie (DGT)

Occult and Retained Haemothorax – Recommendations of the Interdisciplinary Thoracic Trauma Task Group of the German Trauma Society (DGU - Section NIS) and the German Society for Thoracic Surgery (DGT)
Sebastian Krämer 
1   Klinik und Poliklinik für Viszeral-, Transplantations-, Thorax- und Gefäßchirurgie, Universitätsklinikum Leipzig, Leipzig, Deutschland (Ringgold ID: RIN39066)
,
Pascal Graeff
2   Klinik für Unfallchirurgie, Medizinische Hochschule Hannover, Hannover, Deutschland (Ringgold ID: RIN9177)
,
Sebastian Lindner
3   Klinik für Thoraxchirurgie und thorakale Endoskopie, HELIOS Klinikum Erfurt, Erfurt, Deutschland (Ringgold ID: RIN62480)
,
Thorsten Walles
4   Klinik für Herz- und Thoraxchirurgie, Abteilung Thoraxchirurgie, Otto-von-Guericke-Universität Magdeburg Medizinische Fakultät, Magdeburg, Deutschland (Ringgold ID: RIN61074)
,
Lars Becker 
5   Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Essen, Essen, Deutschland (Ringgold ID: RIN39081)
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Zusammenfassung

Der Versorgung okkulter und residueller Hämatothoraces (synonym retinierte/residuale Hämothoraces) stellt für die an der Polytraumaversorgung Beteiligten sowohl in Aspekten der Diagnostik als auch der Therapie eine wiederkehrende Herausforderung dar. Diese ergibt sich selten aus einer unmittelbaren Notfallsituation, sondern vielmehr daraus, wie mögliche Folgeerscheinungen eines Pleuraempyems und einer fixierten Lunge vermieden werden können. Die interdisziplinäre Arbeitsgruppe der Deutschen Gesellschaft für Thoraxchirurgie (DGT) und Deutschen Gesellschaft für Unfallchirurgie (DGU) zur Thoraxtraumaversorgung unterstützt die Ausarbeitung einer Empfehlung basierend auf einer umfassenden Literaturrecherche.

Abstract

The management of occult and retained haemothorax is challenging for all involved in the care of polytrauma patients in terms of diagnosis and treatment. The focus of decision making is preventing sequelae such as pleural empyema and avoiding a trapped lung. An interdisciplinary task force of the German Society for Thoracic Surgery (DGT) and the German Trauma Society (DGU) on thoracic trauma offers recommendations for post-trauma care of patients with occult and/or retained haemothorax, as based on a comprehensive literature review.

Schlüsselwörter

Hämatothorax - Thoraxtrauma - Polytrauma - Pleuraempyem - Thoraxdrainage

Keywords

hemothorax - thoracic trauma - pleural empyema - chest tube - retained hemothorax

Zusatzmaterial



Publication History

Received: 19 September 2022

Accepted after revision: 28 October 2022

Article published online:
05 December 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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