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Reexpansion pulmonary edema
Annals of thoracic and cardiovascular surgery, 2008-08, Vol.14 (4), p.205-209
ISSN: 1341-1098 ;EISSN: 2186-1005 ;PMID: 18818568
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Title:
Reexpansion pulmonary edema
Author:
Sohara, Yasunori
Subjects:
History, 19th Century
;
History, 20th Century
;
Humans
;
Lung - blood supply
;
Lung - pathology
;
Lung - physiopathology
;
Microcirculation
;
Pulmonary Atelectasis - therapy
;
Pulmonary Circulation
;
Pulmonary Edema - etiology
;
Pulmonary Edema - history
;
Pulmonary Edema - pathology
;
Pulmonary Edema - physiopathology
;
Pulmonary Edema - therapy
;
Respiratory Therapy - adverse effects
;
Stress, Mechanical
;
Treatment Outcome
Is Part Of:
Annals of thoracic and cardiovascular surgery, 2008-08, Vol.14 (4), p.205-209
Description:
When a rapidly reexpanding lung has been in a state of collapse for more than several days, pulmonary edema sometimes occurs in it. This is called reexpansion pulmonary edema (RPE). In this article, I present my views on the history, clinical features, morphophysiological features, pathogenesis, and treatment of RPE. Histological abnormalities of the pulmonary microvessels in a chronically collapsed lung will cause RPE, as well as mechanical stress exerted during reexpansion. Although the most effective treatment method is to treat the histological abnormalities of the pulmonary microvessels formed in a chronically collapsed lung, the cause of these abnormalities is not clear, making it difficult to put forward a precise treatment method. However, reasonably good effects can be expected from a symptomatic therapy that reduces the level of mechanical stress during reexpansion. In the future, it is expected that the cause of histological changes of the pulmonary microvessels in a chronically collapsed lung will be revealed, and appropriate therapies will therefore be developed according to this cause.
Publisher:
Japan
Language:
English
Identifier:
ISSN: 1341-1098
EISSN: 2186-1005
PMID: 18818568
Source:
GFMER Free Medical Journals
MEDLINE
Alma/SFX Local Collection
Freely Accessible Japanese Titles
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