Caldwell Lecture. Respiratory problems of early life now allowing survival into adulthood: concepts for radiologists
| Autor: | N T Griscom |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Adult
Male medicine.medical_specialty Cystic Fibrosis Pulmonary hypoplasia medicine Humans Radiology Nuclear Medicine and imaging Diaphragmatic hernia Hernia Esophageal Atresia Bronchopulmonary Dysplasia Hernia Diaphragmatic Lung business.industry Respiratory disease Infant Newborn Infant Congenital diaphragmatic hernia General Medicine Middle Aged medicine.disease Surgery Radiography Pneumonia medicine.anatomical_structure Bronchopulmonary dysplasia Child Preschool Female Hernias Diaphragmatic Congenital business Tracheoesophageal Fistula |
| Zdroj: | American Journal of Roentgenology. 158:1-8 |
| ISSN: | 1546-3141 0361-803X |
| Popis: | Many patients with illnesses that once were fatal at birth or during childhood now survive into adult life. This article considers four respiratory illnesses of early life in which long-term survival now occurs frequently: cystic fibrosis, diaphragmatic hernia, esophageal atresia-tracheoesophageal fistula, and bronchopulmonary dysplasia. In cystic fibrosis, although the median age at death is now 25 years, chronic pulmonary infection due ultimately to the abnormal composition and clearance of airway mucus is still the usual cause of death. Earlier survivors of congenital diaphragmatic hernia had only minor diminution of perfusion and ventilation of the lung on the side of the hernia as adolescents or young adults; however, as infants with greater degrees of pulmonary hypoplasia have successful repair of their hernias, more long-term respiratory impairment will probably be found. The esophageal atresia tracheoesophageal fistula complex leaves all esophagi and many tracheas permanently abnormal; recurrent aspiration, repeated pneumonia, and an unduly collapsible trachea are the result, although symptoms may be few. Survivors of bronchopulmonary dysplasia have decreased exercise capacity, wheezing, and recurrent pneumonia, although their chest radiographs may become normal or almost normal. |
| Databáze: | OpenAIRE |
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