{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T12:30:18Z","timestamp":1784205018005,"version":"3.55.0"},"reference-count":48,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2023,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Lungenkontusionen treten in aller Regel in Kombination mit weiteren Verletzungen auf und sprechen f\u00fcr eine hohe Krafteinwirkung. Vor allem bei polytraumatisierten Patienten werden\n          Lungenkontusionen in hoher Anzahl nachgewiesen. Diese Verletzungen sind u.\u00a0a. durch eine zeitliche Dynamik charakterisiert, die in der initialen Diagnostik Schwierigkeiten bereiten kann.\n          Eine korrekte Einordnung des Verletzungsausma\u00dfes in das Gesamtgeschehen und entsprechende diagnostische und therapeutische Schritte sind f\u00fcr das Erreichen einer Ausheilung essenziell. Das\n          \u00fcbergeordnete Ziel aller therapeutischen Ma\u00dfnahmen ist es, dabei die Lungenfunktion bestm\u00f6glich zu erhalten und assoziierte Komplikationen wie die Entwicklung einer Pneumonie oder eines ARDS\n          (Acute Respiratory Distress Syndrome) zu vermeiden.<\/jats:p><jats:p>Die vorliegende Arbeit der interdisziplin\u00e4ren Arbeitsgruppe \u201eThoraxtrauma\u201c der Deutschen Gesellschaft f\u00fcr Unfallchirurgie (DGU) und der Deutschen Gesellschaft f\u00fcr Thoraxchirurgie (DGT)\n          basiert auf einer umfangreichen Literaturrecherche zu Grundlagen, Diagnostik und Behandlung der Lungenkontusion. Es konnten ausnahmslos Arbeiten mit niedrigem Evidenzgrad eingeschlossen\n          werden. Die Empfehlungen der vorliegenden Arbeit entsprechen einem Konsens der interdisziplin\u00e4ren Arbeitsgruppe.<\/jats:p><jats:p>Zur initialen Diagnostik ist eine CT des Thorax mit Kontrastmittel empfohlen, das Ausma\u00df der Lungenkontusion korreliert mit dem Auftreten von Komplikationen. Eine konventionelle Aufnahme\n          des Thorax kann initial die Verletzung unterbewerten, ist aber zur kurzfristigen Verlaufskontrolle geeignet.<\/jats:p><jats:p>Die Therapie der Lungenkontusion ist multimodal und symptomorientiert. Insbesondere die intensivmedizinische Betreuung mit einer lungenprotektiven Beatmung und ad\u00e4quaten Lagerung sind\n          Eckpfeiler der Behandlung. Soweit es die Nebenerkrankungen und der Zustand des Patienten zulassen, sollte eine nicht invasive Beatmung erwogen werden. Abh\u00e4ngig von der Lungenbeteiligung und\n          dem Patientenzustand kann ferner eine ECMO-Therapie als Ultima Ratio erwogen werden. Insbesondere diese sollte nur an spezialisierten Kliniken durchgef\u00fchrt werden, weswegen eine fr\u00fchzeitige\n          Patientenzuweisung oder eine fr\u00fche Verlegung im Rahmen von Netzwerkstrukturen antizipiert werden sollte.<\/jats:p>","DOI":"10.1055\/a-1991-9599","type":"journal-article","created":{"date-parts":[[2023,1,30]],"date-time":"2023-01-30T23:58:12Z","timestamp":1675123092000},"page":"50-56","source":"Crossref","is-referenced-by-count":10,"title":["Pathophysiologie, Diagnostik und Therapie der Lungenkontusion \u2013 Empfehlungen der interdisziplin\u00e4ren Arbeitsgruppe der Sektion NIS der DGU und DGT zur\n          Thoraxtraumaversorgung"],"prefix":"10.1055","volume":"148","author":[{"given":"Philipp","family":"St\u00f6rmann","sequence":"additional","affiliation":[{"name":"Unfall-, Hand- und Wiederherstellungschirurgie, Universit\u00e4tsklinikum Frankfurt, Frankfurt am Main, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4867-8884","authenticated-orcid":false,"given":"Sebastian","family":"Kr\u00e4mer","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Viszeral-, Transplantations-, Thorax- und Gef\u00e4\u00dfchirurgie, Universit\u00e4tsklinikum Leipzig, Leipzig, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan","family":"Raab","sequence":"additional","affiliation":[{"name":"Thoracic Surgery, Universit\u00e4tsklinikum Augsburg, Augsburg, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Kalverkamp","sequence":"additional","affiliation":[{"name":"Thoracic and Cardiovascular Surgery, Uniklinik RWTH Aachen, Aachen, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pascal","family":"Graeff","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Unfallchirurgie, Medizinische Hochschule Hannover, Hannover, Deutschland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2023,1,30]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1023","DOI":"10.1007\/s00113-015-0026-7","article-title":"Bony injuries of the thoracic cage in multiple trauma: Incidence, concomitant injuries, course and outcome","volume":"119","author":"S Schulz-Drost","year":"2016","journal-title":"Unfallchirurg"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1186\/s13049-017-0354-4","article-title":"Severity-dependent differences in early management of thoracic trauma in severely injured patients. 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