Zusammenfassung
Zentrales Symptom des Schädel-Hirn-Traumas (SHT) ist die Bewusstseinseinschränkung, deren Einteilung sich an der Glasgow Coma Scale orientiert. Dieser Beitrag beschreibt neben Pathophysiologie die Klinik und Diagnostik des SHT. Das therapeutische Vorgehen von der Primärversorgung bis zur intensivmedizinischen Behandlung sind hier dargestellt. Die Therapie bietet konservative und chirurgische Möglichkeiten. Der primäre Hirnschaden 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. Der Prognose der betroffenen Patienten sowie der aktuellen Forschungslandschaft sind eigene Abschnitte gewidmet.
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Scherer, M., Younsi, A., Unterberg, A.W. (2015). Schädel-Hirn-Trauma. In: Marx, G., Muhl, E., Zacharowski, K. (eds) Die Intensivmedizin. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54675-4_89-1
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DOI: https://doi.org/10.1007/978-3-642-54675-4_89-1
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Schädel-Hirn-Trauma- Published:
- 10 December 2022
DOI: https://doi.org/10.1007/978-3-642-54675-4_89-2
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Schädel-Hirn-Trauma- Published:
- 22 June 2015
DOI: https://doi.org/10.1007/978-3-642-54675-4_89-1