{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T22:10:24Z","timestamp":1766268624324,"version":"3.28.0"},"reference-count":38,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Tracheobronchiale Verletzungen sind selten, gehen aber mit einer hohen Morbidit\u00e4t und Letalit\u00e4t einher. Dies liegt vor allem in Nebenerkrankungen und Begleitverletzungen der Patienten begr\u00fcndet. Eine grunds\u00e4tzliche Klassifikation differenziert tracheobronchiale Verletzungen nach iatrogener Ursache sowie stumpfen wie auch penetrierenden Traumata.<\/jats:p><jats:p>Die genaue Inzidenz der Verletzungen ist unklar, da viele iatrogene Verletzungen inapparent verlaufen und ein Gro\u00dfteil der Patienten nach einer traumatischen Verletzung vor einer Behandlung im Krankenhaus verstirbt.<\/jats:p><jats:p>Patienten mit Verdacht auf eine tracheobronchiale Verletzung verlangen daher nach besonderer Aufmerksamkeit, einer schnellen Diagnostik und z\u00fcgigem therapeutischem Vorgehen.<\/jats:p><jats:p>Die h\u00e4ufigsten Symptome sind Dyspnoe, H\u00e4moptysen, Hautemphysem und Stridor. Die Bronchoskopie stellt die wichtigste diagnostische Ma\u00dfnahme zur Beurteilung des Ausma\u00dfes der Verletzung dar.<\/jats:p><jats:p>In Abh\u00e4ngigkeit der diagnostischen Befunde und dem klinischen Erscheinungsbild der Patienten gibt es verschiedene therapeutische Optionen, wobei das konservative Management an Bedeutung gewinnt. Gerade bei schwerstkranken Patienten kann im Rahmen eines risikostratifizierten Vorgehens neben einem operativen Eingriff oder einer bronchoskopischen Stentimplantation auch ein rein konservatives Vorgehen gew\u00e4hlt werden. Zur Planung des therapeutischen Managements ist bei jedem Patienten die jeweilige Symptomatik wegweisend.<\/jats:p>","DOI":"10.1055\/a-2182-7126","type":"journal-article","created":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T23:06:16Z","timestamp":1698361576000},"page":"275-285","source":"Crossref","is-referenced-by-count":3,"title":["Tracheobronchiale Verletzungen"],"prefix":"10.1055","volume":"149","author":[{"given":"Dominik","family":"Herrmann","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Thoraxchirurgie, Thoraxzentrum Ruhrgebiet - EVK Herne, Herne, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erich","family":"Hecker","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Thoraxchirurgie, Thoraxzentrum Ruhrgebiet - EVK Herne, Herne, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,10,26]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1483","DOI":"10.1016\/0003-4975(96)00083-5","article-title":"Tracheobronchial lacerations after intubation and tracheostomy","volume":"61","author":"G Massard","year":"1996","journal-title":"Ann Thorac Surg"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1016\/s1010-7940(97)00111-5","article-title":"Post-intubation tracheal rupture. 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