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Subpleurale Lungenkonsolidierungen

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Book cover Bildatlas der Lungen- und Pleurasonographie

Zusammenfassung

Bei Lobär- oder Segmentpneumonien wird durch reichlich fibrinöses Exsudat die Luft weitgehend aus der Lunge verdrängt. Befallene Lappen oder Segmente sind luftarm und gehen im Wasser unter. In der Anschoppungsphase und während der Hepatisation, also etwa in der 1. Woche der Erkrankung, bestehen gute Bedingungen für eine pathologische Schalltransmission. In dieser Phase ist die Pneumonie sonographisch gut darstellbar. In der Lysephase wird der entzündete Lungenabschnitt wieder zunehmend belüftet. Luftreflexe überlagern tiefer liegende Infiltrationen: Das sonographische Bild kann jetzt das Ausmaß der Erkrankung unterschätzen.

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Authors and Affiliations

  1. Internistische Praxis, Bahnhofstr. 16, 6830, Rankweil, Österreich

    Prof. Dr. Gebhard Mathis

  2. Medizinische Klinik 3, Schwerpunkt Pneumolgie, Klinikum Nürnberg Nord, Prof.-Ernst-Nathan-Straße 1, 90419, Nürnberg, Deutschland

    OÄ Dr. Sonja Beckh

  3. Zentrum für Innere Medizin, Baldingerstraße, 35043, Marburg, Deutschland

    Prof. Dr. Christian Görg

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  1. Internistische Praxis, Bahnhofstr. 16, 6830, Rankweil, Österreich

    Gebhard Mathis

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Mathis, G., Beckh, S., Görg, C. (2010). Subpleurale Lungenkonsolidierungen. In: Mathis, G. (eds) Bildatlas der Lungen- und Pleurasonographie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-03567-8_4

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