PATHOGENESIS OF BRONCHOPULMONARY DYSPLASIA

被引:0
作者
GRONECK, P [1 ]
SPEER, CP [1 ]
机构
[1] UNIV TUBINGEN,KINDERKLIN,NEONATOL ABT,W-7400 TUBINGEN,GERMANY
来源
ZEITSCHRIFT FUR GEBURTSHILFE UND NEONATOLOGIE | 1995年 / 199卷 / 05期
关键词
BRONCHOPULMONARY DYSPLASIA; CHRONIC LUNG DISEASE; INFLAMMATION; INFLAMMATORY MEDIATORS; PRETERM INFANTS;
D O I
暂无
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Bronchopulmonary dysplasia of preterm infants has a multifactorial etiology. Pulmonary immaturity, oxygen toxicity, formation of oxygen radicals and mechanical lung trauma as well as additional factors (pulmonary hyperhydration, infection a.o.) may contribute to pulmonary damage. A pulmonary inflammatory reaction is thought to play a central role in the pathogenesis of chronic lung disease. It is characterized by the presence of inflammatory cells and various inflammatory mediators including proteases, chemoattractants, cytokines, leukotrienes and others. Due to the immaturity of several protective systems (antiproteases, antioxidants, surfactant system) the inflammatory response seems to be aggravated. Moreover, the magnitude and persistence of inflammation may eventually lead to pulmonary fibrosis.
引用
收藏
页码:181 / 189
页数:9
相关论文
共 68 条
[1]   AGE AFFECTS SUSCEPTIBILITY TO PULMONARY BAROTRAUMA IN RABBITS [J].
ADKINS, WK ;
HERNANDEZ, LA ;
COKER, PJ ;
BUCHANAN, B ;
PARKER, JC .
CRITICAL CARE MEDICINE, 1991, 19 (03) :390-393
[2]  
AVERY ME, 1987, PEDIATRICS, V79, P26
[3]   BRONCHOPULMONARY DYSPLASIA - CLINICAL PRESENTATION [J].
BANCALARI, E ;
ABDENOUR, GE ;
FELLER, R ;
GANNON, J .
JOURNAL OF PEDIATRICS, 1979, 95 (05) :819-823
[4]  
BHUTANI VK, 1981, PEDIATR RES, V15, P829
[5]   BRONCHOPULMONARY DYSPLASIA - POSSIBLE RELATIONSHIP TO PULMONARY-EDEMA [J].
BROWN, ER ;
STARK, A ;
SOSENKO, I ;
LAWSON, EE ;
AVERY, ME .
JOURNAL OF PEDIATRICS, 1978, 92 (06) :982-984
[6]   RISK-FACTORS FOR THE DEGRADATION OF LUNG ELASTIC FIBERS IN THE VENTILATED NEONATE - IMPLICATIONS FOR IMPAIRED LUNG DEVELOPMENT IN BRONCHOPULMONARY DYSPLASIA [J].
BRUCE, MC ;
SCHUYLER, M ;
MARTIN, RJ ;
STARCHER, BC ;
TOMASHEFSKI, JF ;
WEDIG, KE .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1992, 146 (01) :204-212
[7]   REACTIVE OXYGEN METABOLITES AND REPERFUSION INJURY - ABERRANT TRIGGERING OF RETICULOENDOTHELIAL FUNCTION [J].
BULKLEY, GB .
LANCET, 1994, 344 (8927) :934-936
[8]   A RANDOMIZED, CONTROLLED TRIAL OF VERY EARLY PROPHYLACTIC LIGATION OF THE DUCTUS-ARTERIOSUS IN BABIES WHO WEIGHED 1000-G OR LESS AT BIRTH [J].
CASSADY, G ;
CROUSE, DT ;
KIRKLIN, JW ;
STRANGE, MJ ;
JOINER, CH ;
GODOY, G ;
ODREZIN, GT ;
CUTTER, GR ;
KIRKLIN, JK ;
PACIFICO, AD ;
COLLINS, MV ;
LELL, WA ;
SATTERWHITE, C ;
PHILIPS, JB .
NEW ENGLAND JOURNAL OF MEDICINE, 1989, 320 (23) :1511-1516
[9]  
Clark R.A.F., 1998, WOUND REPAIR MOL CEL, P3, DOI [10.1007/978-1-4615-1795-5_1, DOI 10.1007/978-1-4615-1795-5_1]
[10]   DEXAMETHASONE TREATMENT SUPPRESSES COLLAGEN-SYNTHESIS IN INFANTS WITH BRONCHOPULMONARY DYSPLASIA [J].
CO, E ;
CHARI, G ;
MCCULLOCH, K ;
VIDYASAGAR, D .
PEDIATRIC PULMONOLOGY, 1993, 16 (01) :36-40