Advertisement

Komplikationen pulmonaler Erkrankungen

  • J. Freihorst
  • H. B. von Stockhausen
  • C. Rieger

Zusammenfassung

Unter einer Atelektase versteht man einen Lungenanteil mit minder- oder unbelüfteten Alveolen bei sonst normaler Parenchymstruktur. Die Ausdehnung kann dabei von diffusen Mikroatelektasen über Segment- und Lappen-atelektasen bis hin zum Kollaps einer gesamten Lunge reichen. Für teilbelüftete Lungenabschnitte wird im radiologischen Sprachgebrauch der Begriff Dystelektase verwandt, die als Vorstufe der Atelektase angesehen wird. Für rezidivierende oder chronische Belüftungsstörungen im Bereich des Mittellappens, die oft mit chronisch obstruktiven Lungenerkrankungen assoziiert sind, wurde der Begriff Mittellappensyndrom geprägt. Auf die seltenen sog. primären, bereits bei Geburt bestehenden Atelektasen soll hier nicht eingegangen werden.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Boothroyd AE, Murthy BV, Darbyshire A, Petros AJ (1996) Endotracheal suctioning causes right upper lobe collapse in intubated children. Acta Paediatr 85(12): 1422–1425PubMedCrossRefGoogle Scholar
  2. Dale WA, Rahn H (1952) Rate of gas absorption during atelectasis. Am J Physiol 170:606–615PubMedGoogle Scholar
  3. De Boeck K, Willems T, Van Gysel D et al. (1995) Outcome after right middle lobe syndrome. Chest 108(1): 150–152PubMedCrossRefGoogle Scholar
  4. Macklem PT (1971) Airway obstruction and collateral ventilation. Physiol Rev 51:368–436PubMedGoogle Scholar
  5. Oermann CM, Moore RH (1996) Foolers: things that look like pneumonia in children. Semin Respir Infect 11(3) :204–213PubMedGoogle Scholar
  6. Ring-Mrozik E, Hecker WC, Nerlich A (1995) Lobar emphysema and atelectasis syndrome, a nosological unity. Eur J Pediatr Surg 5(3):131–135PubMedCrossRefGoogle Scholar
  7. Slattery DM, Waltz DA, Denham B et al. (2001) Bronchoscopically administered recombinant human DNase for lobar atelectasis in cystic fibrosis. Pediatr Pulmonol 31(5) :383–388PubMedCrossRefGoogle Scholar
  8. Bland RD, Carlton DP, Scheerer RG et al. (1989) Lung fluid balance in lambs before and after premature birth. J Clin Invest 84:568–576PubMedCrossRefGoogle Scholar
  9. Bartsch P, Swenson ER, Maggiorini M (2001) Update: High altitude pulmonary edema. Adr Exp Med Biol 502:89–106CrossRefGoogle Scholar
  10. Johnson MD, Widdicombe JH, Allen L et al. (2002) Alveolar epithelial typ I cells contain transport proteins and transport sodium, supporting an active role for typ I cells in regulation of lung liquid homeostasis. Proc Natl Acad Sci USA 99:1966–1971PubMedCrossRefGoogle Scholar
  11. Laine GA, Allen SJ, Katz J et al. (1986) Effect of systemic venous pressure elevation on lymph flow and lung edema formation. J Appl Physiol 61:1634–1638PubMedGoogle Scholar
  12. Matthay MA, Fokesson HG, Clerici C (2002) Lung epithelial fluid transport and the resolution of pulmonary edema. Physiol Rev 82: 569–600PubMedGoogle Scholar
  13. Traber DL, Pollard V (1996) Pathophysiology of inhalation injury. In: Herndon DN (ed) Total burn care. Saunders, London, pp 175–183Google Scholar
  14. Al-Salem AH (1997) Computed tomogprahy-guided percutaneous needle aspiration of lung abscesses in neonates and children. Pediatr Surg Int 12(5–6):417–419PubMedCrossRefGoogle Scholar
  15. Coleman LT (1995) Bronchiectasis in children. J Thorac Imaging 10 (4): 268–279PubMedGoogle Scholar
  16. De Gracia J (1996) IgG subclass deficiencies associated with bronchiectasis. Am J Respir Crit Care Med 153 (2) :650–655PubMedCrossRefGoogle Scholar
  17. Evans DA (1996) Lung abscess in a patient with cystic fibrosis: case report and review of the literature. Pediatr Pulmonol 21(5): 337–340PubMedCrossRefGoogle Scholar
  18. Gershan WM (1994) Brain abscess caused by blastomyces dermatitidis in a child with cystic fibrosis. Chest 106 (2) :601–603PubMedCrossRefGoogle Scholar
  19. Kuhn JP (1993) High-resolution computed tomography of pediatric pulmonary parenchymal disorders. Radiol Clin North Am 31 (3): 553–551Google Scholar
  20. Lucas J (1996) Lung resection in cystic fibrosis patients with localised pulmonary disease. Arch Dis Child 74(5):449–451PubMedCrossRefGoogle Scholar
  21. Nikolaizik WH (1994) Aetiology of chronic suppurative lung disease. Arch Dis Child 70 (2): 141–142PubMedCrossRefGoogle Scholar
  22. Severien C (1995) Severe pneumonia and chronic lung disease in a young child with adenovirus and Bordetella pertussis infection. Pediatr Infect Dis J14 (5):400–401CrossRefGoogle Scholar
  23. Tan TQ (1995) Pediatric lung abscess: clinical management and outcome. Pediatr Infect Dis J 14(1) :51–55PubMedCrossRefGoogle Scholar
  24. Wong KS (1997) Early echo-guided percutaneous aspiration of peripheral lung abscesses in children. Report of two cases. Chung Hua Min Kuo Hsiao Erh. Ko I Hsueh Hui Tsa Chih 38(2):145–148Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2004

Authors and Affiliations

  • J. Freihorst
  • H. B. von Stockhausen
  • C. Rieger

There are no affiliations available

Personalised recommendations