{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,6,14]],"date-time":"2023-06-14T04:09:26Z","timestamp":1686715766315},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n            Hintergrund Zu Lungenkontusionen kommt es h\u00e4ufig im Rahmen von Polytraumata, aber deutlich seltener bei Sportverletzungen.<\/jats:p><jats:p>\n            Fallbeschreibung Wir berichten \u00fcber einen 22-j\u00e4hrigen Patienten,\n      der sich fu\u00dfl\u00e4ufig in unserer Notaufnahme vorstellte. Er war am selben Tag im Schwimmbad von\n      einem 10-Meter-Turm gesprungen und dabei mit dem ventralen Thorax und Abdomen auf die\n      Wasseroberfl\u00e4che geschlagen. Unmittelbar danach kam es zu rechtsthorakalen Schmerzen und\n      H\u00e4moptysen.<\/jats:p><jats:p>Der k\u00f6rperliche Untersuchungsbefund blieb ohne weitere Auff\u00e4lligkeiten. Im R\u00f6ntgenthorax in 2 Ebenen ergab sich ebenfalls kein eindeutig pathologsicher Befund.<\/jats:p><jats:p>Das Computertomogramm des Thorax mit Kontrastmittel wies eine inhomogene Verdichtung im\n      Mittellappen und geringer im ventrobasalen Oberlappen rechts auf, passend zur Lungenkontusion\n      mit Parenchymblutungen. Zus\u00e4tzlich zeigte sich ein minimaler Pneumothoraxsaum rechts\n      parakardial.<\/jats:p><jats:p>In der am selben Tag durchgef\u00fchrten Bronchoskopie wurden im Mittellappenbronchus geringe Mengen Blut nachgewiesen.<\/jats:p><jats:p>Die H\u00e4moptysen sistierten spontan. Am dritten Tag des station\u00e4ren Aufenthaltes wurde der Patient asymptomatisch und mit stabilen Vitalparametern entlassen.<\/jats:p><jats:p>\n            Schlussfolgerung Infolge einer Lungenkontusion kann es unmittelbar nach einer Thoraxverletzung im sportlichen Umfeld zu H\u00e4moptysen kommen. Im Gegensatz zum konventionellen R\u00f6ntgen-Thorax kommt der Computertomografie in der Diagnostik der Lungenkontusion ein hoher Stellenwert zu. Meistens sind die o.g. Befunde spontan reversibel.<\/jats:p>","DOI":"10.1055\/a-2000-5290","type":"journal-article","created":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T23:39:11Z","timestamp":1679614751000},"page":"363-366","source":"Crossref","is-referenced-by-count":0,"title":["Lungenkontusion nach Sprung ins Wasser"],"prefix":"10.1055","volume":"77","author":[{"given":"Mohamed","family":"Garhy","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin, Pneumologie und Intensivmedizin, Evangelisches Klinikum Bethel (EvKB), Pneumologie im Universit\u00e4tsklinikum Ost Westphalen-Lippe (OLW), Bielefeld, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Arndt","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin, Pneumologie und Intensivmedizin, Evangelisches Klinikum Bethel (EvKB), Pneumologie im Universit\u00e4tsklinikum Ost Westphalen-Lippe (OLW), Bielefeld, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edgar","family":"Haasler","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin, Pneumologie und Intensivmedizin, Evangelisches Klinikum Bethel (EvKB), Pneumologie im Universit\u00e4tsklinikum Ost Westphalen-Lippe (OLW), Bielefeld, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"Krobath-Brandst\u00e4tter","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin, Pneumologie und Intensivmedizin, Evangelisches Klinikum Bethel (EvKB), Pneumologie im Universit\u00e4tsklinikum Ost Westphalen-Lippe (OLW), Bielefeld, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernd","family":"Sch\u00f6nhofer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Innere Medizin, Pneumologie und Intensivmedizin, Evangelisches Klinikum Bethel (EvKB), Pneumologie im Universit\u00e4tsklinikum Ost 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