Format

Send to

Choose Destination
See comment in PubMed Commons below
Physiol Res. 2003;52(5):507-16.

Immature lung and acute lung injury.

Author information

  • 1Department of Neonatology, Second Faculty of Medicine, Charles University, University Hospital Motol, V úvalu 84, 150 06 Prague 5, Czech Republic. petr.zoban@lfmotol.cuni.cz

Abstract

Acute lung injury occurs mostly in the very low birth weight and extremely low birth weight infants. The pathological process leading to acute lung injury includes immature and/or diseased lung that experienced oxidative stress, inflammation and mechanical insult with the bronchial, alveolar and capillary injuries and cell death. It may be the first step to the subsequent development of chronic lung disease of prematurity or bronchopulmonary dysplasia. The mechanisms of lung injury are extensively investigated in the experimental models and clinical studies, mostly performed on the adult patients. At present, the explanations of the mechanism(s) leading to lung tissue injury in tiny premature babies are just derived from these studies. Acute lung injury seems to be rather a syndrome than a well-defined nosological unit and is of multifactorial etiology. The purpose of this review is to discuss the main factors contributing to the development of acute lung injury in the very low or extremely low birth weight infants--lung immaturity, mechanical injury, oxidative stress and inflammation. Nevertheless, numerous other factors may influence the status of immature lung after delivery.

PMID:
14535825
[PubMed - indexed for MEDLINE]
Free full text
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Institute of Physiology, Academy of Sciences of the Czech Republic, Prague
    Loading ...
    Write to the Help Desk