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Schädel-Hirn-Trauma

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Die Intensivmedizin

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Zusammenfassung

Zentrales Symptom des Schädel-Hirn-Traumas (SHT) ist die Bewusstseinseinschränkung, deren Einteilung sich an der Glasgow Coma Scale orientiert. Dieser Beitrag beschreibt neben der Pathophysiologie die Klinik und Diagnostik des SHT. Auch das therapeutische Vorgehen von der Primärversorgung bis zur intensivmedizinischen Behandlung sind hier dargestellt. Der primäre Hirnschaden nach SHT wird durch die Schwere des initialen Traumas determiniert. Sämtliche therapeutischen Bemühungen zielen auf die Minimierung eines sekundären Hirnschadens ab, der durch die vom primären Hirnschaden ausgelösten pathophysiologischen Prozesse entsteht. Für die Behandlung des SHT stehen konservativen und chirurgischen Optionen zur Verfügung. Der Prognose der betroffenen Patienten sowie der aktuellen Forschungslandschaft sind eigene Abschnitte gewidmet.

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Authors and Affiliations

  1. Neurochirurgische Klinik, Universitätsklinikum Heidelberg, Heidelberg, Deutschland

    Alexander Younsi, Moritz Scherer & Andreas W. Unterberg

Authors
  1. Alexander Younsi
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  2. Moritz Scherer
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  3. Andreas W. Unterberg
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Correspondence to Andreas W. Unterberg .

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Editors and Affiliations

  1. Klinik für Anästhesiologie, RWTH Aachen Universitätsklinikum Aachen, Aachen, Deutschland

    Gernot Marx

  2. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein Campus Lübeck, Lübeck, Deutschland

    Elke Muhl

  3. Dir. der Klinik fuer Anaesthesie Intensivmed. und Schmerzther., Frankfurt, Hessen, Deutschland

    Kai Zacharowski

  4. Medizinische Klinik 1, Universitätsklinikum Frankfurt, Frankfurt am Main, Hessen, Deutschland

    Stefan Zeuzem

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Younsi, A., Scherer, M., Unterberg, A.W. (2022). Schädel-Hirn-Trauma. In: Marx, G., Muhl, E., Zacharowski, K., Zeuzem, S. (eds) Die Intensivmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54675-4_89-2

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  • DOI: https://doi.org/10.1007/978-3-642-54675-4_89-2

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  • Print ISBN: 978-3-642-54675-4

  • Online ISBN: 978-3-642-54675-4

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  1. Latest

    Schädel-Hirn-Trauma
    Published:
    10 December 2022

    DOI: https://doi.org/10.1007/978-3-642-54675-4_89-2

  2. Original

    Schädel-Hirn-Trauma
    Published:
    22 June 2015

    DOI: https://doi.org/10.1007/978-3-642-54675-4_89-1

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