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Erschienen in: Die Radiologie 5/2008

01.05.2008 | Leitthema

Evidenzbasierte Diagnostik des abdominellen Traumas

verfasst von: PD Dr. G. Schueller

Erschienen in: Die Radiologie | Ausgabe 5/2008

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Zusammenfassung

Das Trauma des Abdomens ist insbesondere bei Patienten unter 40 Jahren eine häufige Todesursache. Die rasche Erstellung aussagekräftiger radiologischer Befunde ist unerlässlich, um die Mortalität zu senken. Die Sonographie wird heute nur mehr bei Bagatelltraumen und als „focused assessment with sonography for trauma“ (FAST) zur Abklärung freier intraperitonealer Flüssigkeit unmittelbar nach dem Eintreffen schwer verletzter Patienten verwendet. Hingegen hat die Radiologie mit der Multidetektorcomputertomographie (MDCT) ein geeignetes Instrument zur Verfügung, um seine Rolle für die Triage zur operativen oder konservativen Behandlung von Patienten nach Trauma des Abdomens erfüllen zu können. Die therapeutischen Entscheidungen werden wesentlich von Verletzungsscores bestimmt, mit denen der Radiologe zusammen mit den sich daraus ergebenden Konsequenzen vertraut sein muss.
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Metadaten
Titel
Evidenzbasierte Diagnostik des abdominellen Traumas
verfasst von
PD Dr. G. Schueller
Publikationsdatum
01.05.2008
Verlag
Springer-Verlag
Erschienen in
Die Radiologie / Ausgabe 5/2008
Print ISSN: 2731-7048
Elektronische ISSN: 2731-7056
DOI
https://doi.org/10.1007/s00117-008-1657-2

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