12. Atelektase Flashcards

1
Q

(Atelektase)

Definition

A

Kollaps eines Lungenabschnitts

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2
Q

(Atelektase)

Leitsymptom

A

Dyspnoe

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3
Q

(Atelektase)

prädisponierende Erkrankungen (3)

A
  • COPD
  • Mukoviszidose
  • Raumforderung
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4
Q

(Atelektase)

Befund bei der Perkussion

A

gedämpfter Klopfschall

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5
Q

(Atelektase)

Befund bei der Auskultation

A

abgeschwächtes Atemgeräusch

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6
Q

(Atelektase)

Bildgebung der Wahl

A

Röntgen-Thorax

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7
Q

(Atelektase)

Röntgen-Thorax: Leitbefund

A

homogene Verschattung + Volumenminderung

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8
Q

(Atelektase)

direkte Atelektasezeichen im Röntgen-Thorax (2)

A
  • Transparenzminderung
  • Verlagerung der Interlobien
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9
Q

(Atelektase)

indirekte Atelektasezeichen im Röntgen-Thorax (2)

A
  • Zwechfellhochstand
  • Mediastinalverlagerung in Richtung der Atelektase
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10
Q

(Atelektase)

Therapieindikation

A

große Atelektasen

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11
Q

(Atelektase)

Therapiemöglichkeiten (2)

A
  • medikamentöse
  • invasive
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12
Q

(Atelektase)

medikamentöse Therapie: Möglichkeiten (2)

A
  • bei Sekret: Bronchodilatatoren
  • bei systemischen Entzündungszeichen: Antibiotika
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13
Q

(Atelektase)

invasive Therapie: Möglichkeiten (2)

A
  • Bronchoskopie
  • Beatmung mit positivem endexpiratorischem Druck (PEEP)
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14
Q

(Atelektase)

Bronchoskopie: Zweck

A

zur Beseitigung einer Obstruktion

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