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Damage Control bei Gefäßverletzungen

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Operative und interventionelle Gefäßmedizin

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Zusammenfassung

Die unkontrollierte Blutung ist nach dem Schädel-Hirn-Trauma die zweithäufigste traumatische Todesursache und verantwortlich für 30–40 % aller verletzungsbedingten Todesfälle (Kauvar et al. 2006). Infolge des Gewebetraumas und des Blutverlustes entwickelt sich die sog. lethal triad bestehend aus Koagulopathie, Acidose und Hypothermie. Es wird geschätzt, dass etwa 25–30 % aller Schwerverletzten das Krankenhaus bereits mit einer manifesten Koagulopathie erreichen (Brohi et al. 2008; Spahn et al. 2013). Im Bemühen, die Überlebenschancen dieser kritischen Patienten zu verbessern, entwickelte sich das Prinzip des Damage Control (DC) in der zweiten Hälfte des vergangenen Jahrhunderts.

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Authors and Affiliations

  1. Klinik für Gefäßchirurgie u. Endovaskuläre Chirurgie, Zentrum für Gefäßmedizin der Bundeswehr, Bundeswehrkrankenhaus Ulm, Ulm, Deutschland

    Michael Engelhardt

  2. Allgemein-, Viszeral- und Gefäßchirurgie, Klinikum Itzehoe, Itzehoe, Deutschland

    Daniel Chr. Hinck

  3. Gefäßchirurgie, Bundeswehrkrankenhaus Hamburg, Hamburg, Deutschland

    Daniel Chr. Hinck

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  1. Michael Engelhardt
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  2. Daniel Chr. Hinck
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Correspondence to Michael Engelhardt .

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Editors and Affiliations

  1. Allgemeines Krankenhaus Harburg, Hamburg, Germany

    Eike Sebastian Debus

  2. Radiologie, Allgemeines Krankenhaus Harburg Abt. Diagnostische und Interventionelle, Hamburg, Germany

    Walter Gross-Fengels

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Engelhardt, M., Hinck, D.C. (2018). Damage Control bei Gefäßverletzungen. In: Debus, E., Gross-Fengels, W. (eds) Operative und interventionelle Gefäßmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45856-3_107-1

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  • DOI: https://doi.org/10.1007/978-3-662-45856-3_107-1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-45856-3

  • Online ISBN: 978-3-662-45856-3

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