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Pathologisch-anatomische Grundlagenforschung der respiratorischen Insuffizienz durch Schock

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Zusammenfassung

Die schockinduzierte respiratorische Insuffizienz bedeutet für den diagnostisch und therapeutisch tätigen Arzt eine Herausforderung; denn der Schock hat anerkanntermaßen eine hohe Morbiditäts- und Mortalitätsziffer (47, 48, 63). Uneinigkeit besteht allerdings darüber, wie man diese Lungenerkrankung, die sich im Verlaufe des Schockgeschehens beinahe fahrplanmäßig entwickelt, nennen soll (27, 78). In der Praxis hat sich der Begriff „Schocklunge“ eingebürgert, obschon die Schocklunge weder klinisch noch pathologisch-anatomisch exakt definiert ist. Dies kommt vor allem daher, daß die Phänomenologie sowie die formale und kausale Pathogenese dieses Krankheitsbildes je nach Arbeitsgruppe unterschiedlich aufgefaßt werden. Darüber hinaus erfährt das babylonische Bild der Schocklunge noch dadurch eine Verwirrung, daß einerseits die frühen und die späten Stadien der Schocklunge in einen Topf geworfen werden, und daß andererseits die aufgepfropften Komplikationen wie Bronchopneumonie, kardial bedingtes Lungenödem und Lungenembolie nicht von der primären Erkrankung des Lungenparenchyms abgetrennt werden (48).

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  1. U. N. Riede
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  2. M. Hirschauer
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  3. C. Mittermayer
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  1. Institut für Anaesthesiologie der Freien Universität Berlin Klinikum Charlottenburg, Spandauer Damm 130, 1000, Berlin 19, Germany

    Jürgen Bernhard Brückner

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Riede, U.N., Hirschauer, M., Mittermayer, C. (1980). Pathologisch-anatomische Grundlagenforschung der respiratorischen Insuffizienz durch Schock. In: Brückner, J.B. (eds) Kreislaufschock. Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine, vol 125. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67443-3_1

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