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[Diagnostical and therapeutical aspects of post-traumatical endobronchial bleeding (author's transl)]
Abstract:
Post-traumatic endobronchial bleeding is a serious concomitant injury in thoracic traumas. Untreated cases are threatened early with pulmonary insufficiency caused by the displacement of a blood clot with in the respiratory tract. Pathophysiology, diagnosis and treatment of the post-traumatic endobronchial bleeding are discussed. Conservative and surgical measures are discussed on the basis of 15 observations. The prognosis of the endobronchial bleeding depends decisevly on the length of its existence and intensity. Conservative or operative procedure should be decided on the basis of repeated endoscopical controls. A liberal attitude towards the operative therapy is recomended.