Zusammenfassung
Die Anwendung moderner Beatmungstechniken in der Neonatalogie hat die Überlebenschancen von Früh- und Neugeborenen mit Atemstörungen wesentlich verbessert. Andererseits können durch die mechanische Ventilation erhebliche, unter Umständen lebensbedrohliche Komplikationen auftreten, die der Radiologe rechtzeitig erkennen muß. Unter diesen Komplikationen spielen die Barotraumen, die zu pathologischen extra-alveolären Luftansammlungen führen können, eine wesentliche Rolle. Barotraumen entstehen vor allem leicht bei mechanischer Ventilation mit positiv-endexspiratorischem Druck (PEEP), insbesondere bei unreifen Lungen.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Literatur
3.1 Barotraumen: Entstehungsmechanismen und 3.2 Pulmonales interstitielles Emphysem
Bachy A, Gerard P, Gillerot Y (1979) Emphysème interstitiel persistant du nouveauné. Ann Pediatr 26: 612
Bomsel F, Larroche JCL (1972) L’emphysème interstitiel pulmonaire du nouveau-né. J Radiol Electrol 54: 505
Campbell RE (1970) Intrapulmonary interstitial emphysema: A complication of hyaline membrane disease. AJR 110: 449
Clarke ThA, Edwards DK (1979) Pulmonary pseudocysts in newborn infants with respiratory distress syndrome. AJR 133: 417
Fletcher BD, Outerbridge EW, Dunbar JS (1970) Pulmonary interstitial emphysema in the newborn. J Can Assoc Radiol 21: 273
Gamarra E de, Moriette G, Toubas PL, Relier JP (1978) Emphysème interstitiel unilateral du nouveau-né. Arch Fr Pediatr 35: 707
Harris H (1977) Pulmonary pseudocysts in the newborn infants. Pediatrics 59:199
Leonidas JC, Bhan I, McCauley RKG (1979) Persistent localized pulmonary interstitial emphysema and lymphangiectasia. A causal relationship? Pediatrics 64:165
Macklin MT, Macklin C (1944) Malignant interstitial emphysema of the lungs and mediastinum as an important occult complication in many respiratory diseases and other conditions: An interpretation of the clinical literature in the light of laboratory experiment. Medicine 23: 281
Maligner AD, Capitanio MA, Wertheimer I, Burko H (1974) Persistent localized intrapulmonary interstitial emphysema: An observation in three infants. Radiology 111: 379
Oppermann HC, Wille L (1979) Röntgendiagnostik pulmonaler Komplikationen des Atemnotsyndroms unter Beatmung. Therapiewoche 29: 8579
Oppermann HC, Wille L, Ulmer HE (1982) Der Neugeborenenthorax, Springer, Berlin Heidelberg New York
Plenat F, Vert P (1978) Pulmonary interstitial emphysema. Clin Perinatal 5: 351
Swischuk LE (1977) Bubbles in the hyaline membrane disease. Radiology 122: 417
Wood BP, Anderson VM, Mauk JE, Merritt TA (1982) Pulmonary lymphatic air. Locating pulmonary interstitial emphysema of the premature infant. AJR 138: 809
Wyman ML, Kuhn LR (1976) Unilateral pulmonary interstitial emphysema. J Pediatr 86: 902
3.3 Pneumothorax
Anderson KD, Chandra R (1976) Pneumothorax secondary to perforation of segmental bronchi by suction catheters. J Pediatr Surg 115: 687
Bartolozzi G, Pogiolesi C, Ridi F, Vichi GF (1979) Su 59 casi di pneumotorace e/o pneumomediastino del neonato. Minerva Pediatr 31: 283
Campbell RE, Hoffmann RR Jr (1974) Predictability of pneumothorax in hyaline membrane disease. AJR 120: 274
Chasler CN (1964) Pneumothorax and pneumomediastinum in the newborn. AJR 91: 550
Chernick V, Avery ME (1963) Spontaneous alveolar rupture in newborn infants. Pediatrics 32: 816
Fletcher BD (1978) Medial herniation of the parietal pleura: A useful sign of pneumothorax in supine neonates. AJR 130: 469
Frisch H (1980) Pulmonale Veränderungen, Komplikationen und Folgen der Beatmungstherapie in der Neonatalperiode. Pädiatr Prax 23: 371
Giedion A (1977) Radiology of respiratory distress in the newborn. A „gamut of pattern“approach. In: Eklöf O (ed) Current concepts in pediatric radiology. Springer, International (Current diagnostic pediatrics, vol 1, p 1)
Hall RT, Rhodes PG (1975) Pneumothorax and pneumomediastinum in infants with idiopathic respiratory distress syndrome receiving continuous positive airway pressure. Pediatrics 55:493
Moessinger AC, Driscoll JM Jr, Wigger HJ (1978) High incidence of lung perforation by chest tube in neonatal pneumothorax. J Pediatr 92: 635
Monin P, Vert P (1978) Pneumothorax. Clin Perinatol 2: 335
Moskowitz PS, Griscom NT (1976) The medial pneumothorax. Radiology 120: 143
Oestreich A (1977) The sharp edge sign in neonatal pneumothorax. Ann Radiol 20: 94
Oppermann HC, Wille L (1982) Erkrankungen der Lunge. In: Oppermann HC, Wille L, Ulmer HE Der Neugeborenenthorax. Springer, Berlin Heidelberg New York, S. 63 (Hrsg)
Schulman A, Dalrymple RB (1978) Subpulmonary pneumothorax. Brit J Radiol 51: 494
Steel RW, Metz JR, Bass JW, DuBois JJ (1971) Pneumothorax and pneumomediastinum in the newborn. Radiology 98: 629
Stern L, Fletcher BD, Dunbar JS, Levant MN, Fawcett JS (1972) Pneumothorax and pneumomediastinum associated with renal malformations in newborn infants. AJR 116: 785
Swischuk LE (1976) Two lesser known but useful signs of neonatal pneumothorax. AJR 127: 623
Versmold HT (1977) Pneumothorax. Pädiatr Prax 19:11
Wilkinson RH, Wheeler DB (1973) Pneumothorax and renal disease in a newborn. Ann Radiol 16: 235
Yu VYH, Liew SW, Robertson NRC (1975) Pneumothorax in the newborn. Changing pattern. Arch Dis Child 50: 449
3.4 Pneumomediastinum
Bashour BN, Balfe JW (1977) Urinary tract anomalies in neonates with spontaneous pneumothorax and/or pneumomediastinum. Pediatrics (Suppl) 59: 1048
Bowen AD, Quattromani FL (1980) Infraazygous pneumomediastinum in the newborn. AJR 135:1017
Bowen AD, Dominguez R (1981) Sternal depression simulating mediastinal emphysema in neonates with respiratory distress. Radiology 139: 599
Franken EK Jr (1970) Pneumomediastinum in newborn with associated dextroposition of the heart. AJR 109: 252
Heitzman ER (1977) The mediastinum: Radiologic correlations with anatomy and pathology. Mosby, St. Louis, pp 237–322
Kleinmann RK, Brill PW, Whalen JP (1978) Anterior pathway for transdiaphragmatic extension of pneumomediastinum. AJR 131: 271
Levin B (1973) The continuous diaphragma sign. A newly-recognized sign of pneumomediastinum. Clin Radiol 24:337
Liberman MM, Abraham JM, France NE (1969) Association between pneumomediastinum and renal anomalies. Arch Dis Child 44: 471
Lillard RL, Allen RP (1965) The extrapleural air sign in pneumomediastinum. Radiology 85:1093
Lucaya J, Morreiras M (1976) Pneumothorax and or pneumomediastinum in newborn infants with renal malformations. Ann Radiol 19:103
Marchand P (1951) The anatomy and applied anatomy of the mediastinal fascia. Thorax 6: 359
Moseley JE (1960) Loculated pneumomediastinum in the newborn. A „spinnaker“sign. Radiology 75: 788
Moskowitz PS, Griscom NT (1976) The medial pneumothorax. Radiology 120: 143
Stern L, Fletcher BD, Dunbar JS, Levant MN, Fawcett JS (1972) Pneumothorax and pneumomediastinum associated with renal malformations in newborn infants. AJR 116: 785
Volberg FM Jr, Everett CJ, Brill PW (1979) Radiologic features of inferior pulmonary ligament air collections in neonates with respiratory distress. Radiology 130: 357
Wille L, Oppermann HC (1976) Das idiopathische Atemnotsyndrom: Pulmonale Veränderungen und Komplikationen unter Respiratortherapie bei Frühgeborenen. Rönt-genbl 29:278
3.5 Pneumoperikard
Burt TB, Leister PD (1982) Neonatal pneumopericardium. Radiology 142: 81
Grosfeld JL, Kilman JW, Frye TR (1970) Spontaneous pneumopericardium in the newborn infant. J Pediatr 76: 614
Higgins ChB, Broderick ThW, Edwards DK, Shumaker A (1979) The hemodynamic significances of massive pneumopericardium in preterm infants with respiratory distress syndrome. Radiology 133: 363
Kunze J (1970) Pneumoperikard and Spontanpneumothorax in der Neugeborenenperiode. Pädiatr Prax 9: 377
Lange H, Kemperdick H, Gauchel FD (1974) Spontanes Pneumoperikard beim Neugeborenen. Klin Pädiatr 186: 264
Lawson EE, Gould JD, Taeusch HW (1980) Neonatal pneumopericardium: current management. J Pediatr Surg 15: 181
Löhrer AC (1972) Zur Pathogenese des Pneumoperikard beim Neugeborenen Schweiz Med Wochenschr 102:1248
Siplovich L, Bar-Ziv J, Karplus M, Mares AJ (1979) The pericardial „Window“: A rare etiological factor in neonatal pneumopericardium. J Pediatr 94: 975
Varano LA, Maiseis JM (1974) Pneumopericardium in the newborn: Diagnosis and pathogenesis. Pediatrics 53: 941
Weingärtner L (1969) Pneumoperikard im Neugeborenenalter. Pädiatr Pädol 5: 212
3.6 Systemische intravaskuläre Luftembolie
Baur M, Otten A, Briner J (1978) Plötzlicher Tod durch massive Luftembolie bei Respiratorbeatmung im Neugeborenenalter. Helv Paediatr Acta 34:147
Brazy JE, Blackmon RL (1977) Hypotension and bradycardia associated with airblock in the neonate. J Pediatr 90: 789
Brown ZA, Clark JM, Jung AL (1977) Systemic gas embolus. Am J Dis Child 131: 984
Faer M, Messerschmidt GL (1978) Nonfatal pulmonary air embolism: Radiographic demonstration. AJR 131: 705
Gregory GA, Tooley WH (1970) Gas embolism in hyaline membrane disease. NEJM 282: 1141
Gwinn JL, Lee FA (1973) Radiological case of the month: Massive air embolism. Am J Dis Child 126: 63
Kogutt MS (1978) Systemic air embolism secondary to respiratory therapy in the neonate: Six cases including on survivor. AJR 131: 425
Oppermann HC, Wille L, Obladen M, Richter E (1979) Systemic air embolism in the respiratory distress syndrome of the newborn. Pediatr Radiol 8:139
Ponté C, Remy J, Lequien P (1974) Spontaneous air embolism in the newborn: A complication of pulmonary interstitial emphysema. Pediatr Radiol 2: 231
Vinstein AE, Gresham EL, Lim MO, Franken EA (1972) Pulmonary venous air embolism in hyaline membrane disease. Radiology 105: 627
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1990 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Schuster, W. et al. (1990). Barotraumen. In: Schuster, W., et al. Kinderradiologie 1. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-96919-5_22
Download citation
DOI: https://doi.org/10.1007/978-3-642-96919-5_22
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-96920-1
Online ISBN: 978-3-642-96919-5
eBook Packages: Springer Book Archive