The invention relates to a prestressed slab element (10), in particular a concrete slab element, manufactured according to the in-situ concrete method or prefabricated in a concrete precasting plant which in top view of its surface (11) comprises at least one hollow element region (20) with hollow elements (21) contained therein and at least one support region (30) for supporting or holding the slab element (10) without hollow elements (21), as well as stressing elements (40) for reinforcing the slab element (10), which each are installed through the slab element (10) and form a lattice-shaped structure (50), wherein individual fields (51) of this structure (50) establish a support or hollow element region (20, 30), and laterally adjoining fields (51) of the lattice-shaped structure (50) form at least one longish support strip (60) which joins individual support regions (30) with one another and which is embodied in a reinforced manner, characterized by stressing elements (40), which in a lateral view of the slab element (10) are installed in the slab element (10) wave-like and which support themselves on at least one lattice system (90) of bars (91) with hollow elements (21) held therein whose respective height is adapted to the wave shape.