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Lungenschädigung durch Strahlen, Hitze und Druck

Pulmonary damage by radiation, heat and pressure

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Zusammenfassung

Unter Strahlenschäden werden die pathologischen Folgeerscheinungen nach Einwirkung ionisierender Strahlen, also von elektromagnetischen Wellen und Korpuskularstrahlung auf den menschlichen Organismus verstanden. Klinisch manifestiert sich der Strahlenschaden der Lunge subakut als Pneumonitis und/oder in der Spätreaktion als Lungenfibrose. Obwohl bei Brandunfällen viele Organe beteiligt sein können, sind Hitzeschäden der Lunge am gravierendsten. Bei ca. 80% der Verletzten ist das Inhalationstrauma die Todesursache. Das Barotrauma der Lunge bei maschineller Beatmung ist die häufigste Form der druckbedingten Lungenschädigung.

Abstract

Radiation damage is the term used to refer to the pathological effects of ionizing rays, i.e. electromagnetic waves and corpuscular radiation, on the human organism. Pulmonary radiation damage manifests clinically as subacute pneumonitis and/or as pulmonary fibrosis as a late reaction. Although many organs may be affected in fire accidents, heat damage to the lungs is the most severe. In around 80% of victims, the cause of death is inhalation trauma. Pulmonary barotrauma during artificial respiration is the most common form of pressure-induced pulmonary damage.

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Danksagung

Die Abbildungen verdanke ich Herrn Prof. Dr. Hans-Holger Jend, Klinikum Bremen-Ost.

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  1. Spillheide 78, 45239, Essen, Deutschland

    N. Konietzko

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  1. N. Konietzko
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Correspondence to N. Konietzko.

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Konietzko, N. Lungenschädigung durch Strahlen, Hitze und Druck. Pneumologe 6, 30–34 (2009). https://doi.org/10.1007/s10405-008-0228-6

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  • DOI: https://doi.org/10.1007/s10405-008-0228-6

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