Akute Herzinsuffizienz und kardiogener Schock in der Kindernotaufnahme

Die akute Herzinsuffizienz im Kindesalter ist ein lebensbedrohlicher Zustand. Säuglinge und Kinder können die akute Herzinsuffizienz lange kompensieren, dann aber rasch in den kardiogenen Schock verfallen. Die frühe Diagnose ist entscheidend, um eine Dekompensation bestmöglich aufzufangen. Für die Diagnosestellung dieses in der Kindernotaufnahme seltenen Krankheitsbilds sind der klinische Eindruck, die Messung der Rekapillarisierungszeit und der Nachweis einer metabolischen Azidose von wesentlicher Bedeutung.

Schlüsselwörter

Notaufnahme - Kinder - akute Herzinsuffizienz - kardiogener Schock - Diagnostik

• Literatur

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