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Adult respiratory distress syndrome

A histopathologic study

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Summary

The results of an anatomohistopathologic study carried out on subjects who died from various causes in resuscitation centers are reported with specific reference to the evolutive phases of the adult respiratory distress syndrome (ARDS).

While a precise anatomohistopathologic diagnosis of non-clinically diagnosed ARDS in its initial phase is considered possible, the importance of recognizing this pathology in cadavers and living patients is emphasized because of the medico-legal implications involved.

Zusammenfassung

Ergebnisse pathologisch-anatomischer und histologischer Untersuchungen in verschiedentlich verursachten Todesfä llen in Reanimationszentren, unter besonderer Berücksichtigung der evolutiven Phasen des ARD-Syndroms.

Verff. halten die exakte pathologisch-anatomische und histologische Diagnose eines anfänglichen ARDS auch in den klinisch nicht diagnostizierten Fällen für möglich und heben die gerichtsmedizinische Bedeutung der Feststellung einer solchen Pathologie in Todesfällen und bei Überlebenden hervor.

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References

  1. Hocherm, K.: Über einige Befunde in den Lungen von Neugeborenen und die Beziehung derselben zur Aspiration von Fruchtwasser in pathologisch-anatomischen Untersuchungen. Hirschwald (Berlin)421 (1903)

  2. Ferrara, S. D., Pertile, G., Terribile, V.: Der Pneumothorax als Komplikation langanhaltender Atmungs-Reanimation. Z. Rechtsmed.78, 159 (1976)

    Article  CAS  PubMed  Google Scholar 

  3. Capers, T. H.: Pulmonary hyaline membranes formation in the adult; a clinical pathologic study. Am. J. Med.31, 701 (1961)

    Article  CAS  PubMed  Google Scholar 

  4. Capers, T. H.: Pulmonary fibrinolysis in hyaline membranes formations in adults. Am. J. Med.36, 377 (1964)

    Article  CAS  PubMed  Google Scholar 

  5. Orell, S. R.: Lung pathology in respiratory distress following shock in the adult. Acta Pathol. Microbiol. Scand.79, 65 (1971)

    CAS  Google Scholar 

  6. Hugues, F. C., Marsan, C., Cornu, P., Manicacci, M., Caulin, C., Segrestaa, J. M., Lamotte, M.: Les membranes hyalines pulmonaires chez l'adulte, toxicité de l'oxigene. Sem. Hôp. Paris49, 125 (1973)

    CAS  PubMed  Google Scholar 

  7. Dyck, D. R., Zylak, C. J.: Acute respiratory distress in adults. Radiology106, 497 (1973)

    CAS  PubMed  Google Scholar 

  8. Baird, J. N., Thompson, R. L., Devoe, K., Jr.: Shock lung. Am. J. Obstet. Gynecol.115, 583 (1973)

    PubMed  Google Scholar 

  9. Cremer, H., Schulte, J., Popov, S.: Zum Problem der pulmonalen hyalinen Membranen beim Erwachsenen. Anaesthesist23, 241 (1974)

    CAS  PubMed  Google Scholar 

  10. Bradenberg, C. E.: Acute respiratory distress. Surg. Clin. N. Am.54, 1043 (1974)

    Google Scholar 

  11. Giusti, G. V., Gentile, V.: Hyaline membrane disease in adults after artificial ventilation: a histopathologic study. J. For. Sci.4, 207 (1974)

    CAS  Google Scholar 

  12. Pariente, B., Lengrand, M.: Les insuffisances respiratoires refractaires secondaires des états de choc. Leurs rapports avec les autres edemes pulmonaires. Acta Cardiol.19, 193 (1974)

    PubMed  Google Scholar 

  13. Nash, G., Foley, F. D., Langlinais, P. C.: Pulmonary interstitial edema and hyaline membranes in adult burn patients. Electron microscopic observations. Human Pathol.5, 149 (1974)

    CAS  Google Scholar 

  14. Joffe, N.: The adult respiratory distress syndrome. Am. J. Roentgenol.122, 719 (1974)

    CAS  Google Scholar 

  15. De Coster, A., Sergysels, R., Degaute, J. P., Jaspar, N., Englert, M.: Le concept du pulmon de choc. Lille Méd.19, 424 (1974)

    PubMed  Google Scholar 

  16. Eiseman, W. B.: The changing pattern of post-traumatic respiratory distress syndrome. Ann. Surg.181, 693 (1975)

    PubMed  Google Scholar 

  17. Ratliff, J. L., Hill, J. D., Fallat, R. J., Parrot, J., Tucher, H. J.: Complications associated with membrane lung support by venoarterial perfusion. Am. Thorac. Surg.19, 537 (1975)

    CAS  Google Scholar 

  18. Mittermayer, Ch., Joachim, H.: Zur Pathomorphologie der Intensivbehandlung. Z. Rechtsmed.78, 1 (1976)

    Article  CAS  PubMed  Google Scholar 

  19. Joachim, H., Vogel, W., Mittermayer, Ch.: Untersuchungen zum Phä nomen der Schocklunge. Z. Rechtsmed.78, 13 (1976)

    Article  CAS  PubMed  Google Scholar 

  20. Bleyl, U., Heilmann, K., Adler, D.: Generalisierte plasmatische Hypercoagulabilität und pulmonale hyaline Membranen beim Erwachsenen. Klin. Wochenschr.49, 71 (1971)

    Article  CAS  PubMed  Google Scholar 

  21. Bleyl, U.: Morphologische Untersuchungen zur Pathogenese der pulmonalen hyalinen Membranen. Zentralbl. Pathol. Path. Anat.114, 104 (1971)

    Google Scholar 

  22. Ashbaugh, D., Bigelow, D., Petty, T., Levine, B.: Acute respiratory distress in adults. Lancet2, 319 (1967)

    CAS  PubMed  Google Scholar 

  23. Cotrell, T. S., Levine, R., Senior, R. N., Wiener, J., Spiro, D., Fishman, A. P.: Electron microscopic alterations at the alveolar level in pulmonary edema. Circ. Res.21, 783 (1967)

    Google Scholar 

  24. Moss, G., Staunton, C., Sten, A. A.: Cerebral etiology of the “shock lung syndrome.” J. Traumatol.12, 885 (1972)

    CAS  Google Scholar 

  25. Schaefer, K. E., Avery, M. E., Bensch, K.: Time course of changes in surface tension and morphology of alveolar epithelial cells in CO2 induced hyaline membrane disease. J. Clin. Invest.43, 2080 (1964)

    CAS  PubMed  Google Scholar 

  26. Harrison, L. H., Beller, J. J., Hinshaw, L. B., Coalson, J. J., Grenfield, L. J.: Effects of endotoxin on pulmonary capillary permeability, ultrastructure, and surfactant. Surg. Gynec. Obstet.129, 723 (1969)

    CAS  PubMed  Google Scholar 

  27. Lauweryns, J. M.: Hyaline membrane disease in newborn infants. Hum. Pathol.1, 175 (1970)

    CAS  PubMed  Google Scholar 

  28. Ryan, S. E.: Experimental fibrosing alveolitis. Am. Rev. Resp. Dis.105, 776 (1972)

    CAS  PubMed  Google Scholar 

  29. Gould, V. E., Tosco, R., Wheelis, R. F., Gould, N. S., Kapanci, Y.: Oxygen pneumonitis in man: ultrastructural observations on the development of alveolar lesions. Lab. Invest.26, 499 (1972)

    CAS  PubMed  Google Scholar 

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Ferrara, S.D., Pertile, G. Adult respiratory distress syndrome. Z Rechtsmed 83, 245–252 (1979). https://doi.org/10.1007/BF02333327

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