Zusammenfassung
Das Atemnotsyndrom ist eine typische Krankheit Frühgeborener (Synonym: hyalines Membranensyndrom, respiratory distress syndrome, RDS); es wird durch den Mangel eines pulmonalen oberflächenaktiven Systems, des Surfactant (surface active agent) verursacht.
Ungefähr 1 % aller Lebendgeborenen erkrankt an einem Atemnotsyndrom. Die Inzidenz steigt mit abnehmendem Gestationsalter; bis zu 60 % der Frühgeborenen mit einem Gestationsalter von weniger als 30 Wochen entwickeln aufgrund der Unreife des Surfactantsystems ein Atemnotsyndrom. Vor Einführung der Surfactant-Substitutionstherapie verstarben bis zu 50 % der Kinder im Verlauf des Atemnotsyndroms.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatur
Avery ME, Mead J (1959) Surface properties in relation to atelectasis and hyaline membrane disease. Am J Dis Child 97:517–526
Dargaville PA, Copness B, Mills JF et al (2011) Randomized controlled trial of lung lavage with dilute surfactant for meconium aspiration syndrome. J Pediatr 158:383–389
Doyle LW, Ehrenkranz RA, Halliday HL (2010) Dexamethasone treatment after the first week of life for bronchopulmonary dysplasia in preterm infants: a systematic review. Neonatology 98:289–296
Doyle LW, Ehrenkranz RA, Halliday HL (2010) Dexamethasone treatment in the first week of life for preventing bronchopulmonary dysplasia in preterm infants: a systematic review. Neonatology 98:217–224
Fujiwara T, Maeta H, Chida S et al (1980) Artificial surfactant therapy in hyaline-membrane disease. Lancet 1:55–59
Greenough A, Roberton NRC, Milner AD (1996) Neonatal respiratory disorders. Arnold, London
Halliday HL (2001) Postnatal steroids: a dilemma for neonatologists. Acta Paediatr 90:116–118
Northway WH, Moss RB, Carlisle KB et al (1990) Late pulmonary sequelae of bronchopulmonary dysplasia. N Engl J Med 323:1793–1799
Speer CP, Halliday HL (1994) Surfactant therapy in the newborn. Curr Pediatrics 4:1–5
Speer CP, Groneck P (1998) Oxygen radicals, cytokines, adhesion molecules and lung injury in neonates. Sem Neonat 3:219–228
Speer CP (2009) Chorioamniotitis, postnatal factors and proinflammatory response in the pathogenetic sequence of bronchopulmonary dysplasia. Neonatology 95:353–361
Speer CP, Sweet DG (2012) Surfactant Replacement: Present and Future. In: Bancalari E (Hrsg) The Newborn Lung, 2. Aufl. Elsevier Saunders, Philadelphia, S 283–299
Sweet DG, Carnielli V, Greisen G et al (2013) European Consensus Guidelines on the management of neonatal respiratory distress syndrome in preterm infants – 2013 update. Neonatology 103:353–368
Thomas W, Speer CP (2008) Non-ventilatory strategies for prevention and treatment of bronchopulmonary dysplasia – what is the evidence? Neonatology 94:150–159
Walsh-Sukys MC (1993) Persistent pulmonary hypertension of the newborn: The black box revisited. Clin Perinatol 20:127–144
Wiswell TE, Tuggle JM, Turner BS (1990) Meconium aspiration syndrome: Have we made a difference? Pediatrics 85:715–721
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Speer, C.P. (2014). Lungenkrankheiten Früh- und Neugeborener. In: Hoffmann, G., Lentze, M., Spranger, J., Zepp, F. (eds) Pädiatrie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-41866-2_40
Download citation
DOI: https://doi.org/10.1007/978-3-642-41866-2_40
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-41865-5
Online ISBN: 978-3-642-41866-2
eBook Packages: Medicine (German Language)