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Penetrierende 2-Höhlen-Verletzung mit einer 20 cm langen dolchartigen Scherbe nach Sturz in eine Glastür

Penetrating injury of two body cavities with a 20 cm long dagger-like sliver after falling into a glass door

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Zusammenfassung

Zwei-Höhlen-Verletzungen gehören in Deutschland im Vergleich zu angloamerikanischen Ländern zu den selteneren Entitäten. Jedoch steigt diese Zahl aufgrund zunehmender Gewaltbereitschaft stetig. Im hier folgenden Fall soll von einer Patientin berichtet werden, die sich akzidentiell nach häuslichem Sturz eine große thorakale Penetrationsverletzung mit erheblicher Begleitverletzung zuzog. Sie wurde entsprechend den gängigen Behandlungsalgorithmen operativ versorgt und zeigte entgegen der Ersteinschätzung des erstbehandelnden Notarztes eine erheblich größere Verletzungsschwere.

Abstract

In Germany the numbers of penetrating thoracic injuries are rare compared to Anglo-American countries; however, the number of cases has increased in recent years due to an increase in violent incidents. This article reports the case of a patient who suffered such a penetrating thoracic injury after a domestic accident. Operative treatment was performed according to the well-established standard treatment algorithms. Contrary to the initial assessment of the emergency doctor, substantially more severe injuries were found.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. P. Mörsdorf, S.C. Herath, H.V. Groesdonk, S. Hoersch, T. Pohlemann, M. Burkhardt geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum des Saarlandes, Kirrberger Str. 1, 66424, Homburg/Saar, Deutschland

    P. Mörsdorf, S.C. Herath & T. Pohlemann

  2. Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum des Saarlandes, Homburg/Saar, Deutschland

    H.V. Groesdonk & S. Hoersch

  3. Abteilung für Unfallchirurgie & Orthopädie, Evangelisches Stadtkrankenhaus Saarbrücken, Saarbrücken, Deutschland

    M. Burkhardt

Authors
  1. P. Mörsdorf
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  2. S.C. Herath
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  3. H.V. Groesdonk
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  4. S. Hoersch
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  5. T. Pohlemann
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  6. M. Burkhardt
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Correspondence to P. Mörsdorf.

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Mörsdorf, P., Herath, S., Groesdonk, H. et al. Penetrierende 2-Höhlen-Verletzung mit einer 20 cm langen dolchartigen Scherbe nach Sturz in eine Glastür. Unfallchirurg 118, 982–986 (2015). https://doi.org/10.1007/s00113-014-2719-8

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  • DOI: https://doi.org/10.1007/s00113-014-2719-8

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