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Query: UMLS:C0034067 (
emphysema
)
11,506
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
In order to find a simple method for assessing the degree of lung hypoplasia in congenital diaphragmatic hernia (CDH), we measured an index of pulmonary expansion (V/P: expiratory tidal volume over inspiratory pressure) in 23 pulmonary normal and 16 CDH neonates. We also measured V/P in 9 newborn lambs, 6 with experimentally induced CDH and 3 controls, and compared V/P values with fractional lung masses (
FLM
: lung weight over body weight). In animals, the correlation between V/P and
FLM
was significant (P less than .05), whereas there was a very significant inverse correlation between pulmonary interstitial
emphysema
found at postmortem and
FLM
(P less than .01). These findings suggest that V/P could be an indicator of lung hypoplasia and, therefore, of sensitivity to barotrauma. In neonates with CDH, this index could be useful to make comparisons between series and to separate infants who cannot be ventilated at usual pressures without significant barotrauma.
...
PMID:Index of pulmonary expansion: a new method to estimate lung hypoplasia in congenital diaphragmatic hernia. 152 55