Portal de Periódicos da CAPES

PULMONARY EMPHYSEMA: ETIOLOGIC FACTORS AND CLINICAL FORMS

1960; American College of Physicians; Volume: 53; Issue: 6 Linguagem: Inglês

10.7326/0003-4819-53-6-1105

1539-3704

Doug Richards,

Pleural and Pulmonary Diseases

Article1 December 1960PULMONARY EMPHYSEMA: ETIOLOGIC FACTORS AND CLINICAL FORMSDICKINSON W. RICHARDS, M. D., F.A.C.P.DICKINSON W. RICHARDS, M. D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-53-6-1105 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptResearch during the last decade in the anatomic, physiologic and clinical features of pulmonary emphysema has brought, among other things, an increased interest in and need for a more satisfactory classification of this disease. But this is difficult. No one thus far has offered a convincing unitary hypothesis for the pathogenesis of emphysema, and the descriptions of the disease by the pathologists, physiologists and clinicians are still in somewhat different languages, and do not readily fit together. The disease itself is complex, so many different factors combining in such differing proportions, and so variably from one part of the lung...Bibliography1. GoughWentworth JJE: The pathology of the pneumoconiosis of coal workers in Wales: a new technique for the study of lung pathology, Proceedings of the Ninth International Congress on Industrial Medicine, London, 1948, p. 661. Google Scholar2. Rahn H: A concept of mean alveolar air, and the ventilation blood flow relationships during pulmonary gas exchange, Am. J. Physiol. 158: 21, 1949. CrossrefMedlineGoogle Scholar3. RileyCournand RLA (a) : "Ideal" alveolar air, and the analysis of ventilation-perfusion relationships in the lungs, J. Appl. Physiol. 1: 825, 1949. (b) Riley, R. L., and Cournand, A.: Analysis of factors affecting the concentration of oxygen and carbon dioxide in the gas and blood of the lungs. I. Theory, J. Appl. Physiol. 4: 78, 1951. CrossrefMedlineGoogle Scholar4. Fowler WS: Intrapulmonary distribution of inspired gas, Physiol. Rev. 32: 1, 1952. CrossrefMedlineGoogle Scholar5. Briscoe WA: Further studies on the intrapulmonary mixing of helium in normal and emphysematous subjects, Clin. Sc. 11: 45, 1952. MedlineGoogle Scholar6. BriscoeCournand WAA: Uneven ventilation of normal and diseased lungs studied by an open circuit method, J. Appl. Physiol. 14: 284, 1959. CrossrefMedlineGoogle Scholar7. Briscoe WA: Comparison between alveolo-arterial gradient predicted from mixing studies, and the observed gradient, J. Appl. Physiol. 14: 299, 1959. CrossrefMedlineGoogle Scholar8. BriscoeCreeFillerHoussayCournand WAEMJHEA: Lung volume, alveolar ventilation and perfusion relationships in chronic pulmonary emphysema, J. Appl. Physiol., in press. Google Scholar9. GilsonHugh-Jones JCP: Lung function in coal workers' pneumoconiosis, Medical Research Council, Special Report Series 290, 1955, Her Majesty's Stationery Office, London. Google Scholar10. BelcherSiddons JRAH: Air containing cysts of the lung, Thorax 9: 38, 1954. CrossrefMedlineGoogle Scholar11. Richards DW: The aging lung, Bull. New York Acad. Med. 32: 407, 1956. MedlineGoogle Scholar12. OgilvieCatterall CM: Patterns of disturbed lung function in patients with emphysematous bullae, Thorax 14: 216, 1959. CrossrefMedlineGoogle Scholar13. Fletcher CM: Chronic bronchitis: its prevalence, nature, and pathogenesis, Am. Rev. Resp. Dis. 80: 483, 1959. MedlineGoogle Scholar14. GaenslerLindgren EAI: Chronic bronchitis as an etiologic factor in obstructive emphysema, Am. Rev. Resp. Dis. 80: 185, 1959. MedlineGoogle Scholar15. Reid L: The pathology of chronic bronchitis, Lancet 1: 275, 1954. CrossrefGoogle Scholar16. Liebow AA: The vascular pathology of pulmonary emphysema, Am. Rev. Resp. Dis. 80: 67, 1959. MedlineGoogle Scholar17. McLean KH: The histology of generalized pulmonary emphysema. II. Diffuse emphysema, Australasian Ann. Med. 6: 203, 1957. CrossrefMedlineGoogle Scholar18. Heppleston AG: The pathological anatomy of simple pneumoconiosis in coal workers, J. Path. and Bact. 66: 235, 246, 1953. CrossrefMedlineGoogle Scholar19. LeopoldGough JGJ: The centrilobular form of hypertrophic emphysema and its relation to chronic bronchitis, Thorax 12: 219, 1958. CrossrefGoogle Scholar20. BrownPearsallTolanWilson EHHRJFHL: Acute obstructing bronchiolitis: a medical emergency, Ann. Otol., Rhin. and Laryng. 67: 1180, 1958. CrossrefGoogle Scholar21. BaldwinCournandRichards EdADW: Pulmonary insufficiency. III. A study of 122 cases of chronic pulmonary emphysema, Medicine 28: 201, 1949. CrossrefMedlineGoogle Scholar22. RossierWiesinger PHK: L'insuffisance pulmonaire globale, sa pathophysiologie et son traitement, J. int. chir. thor. 1: 35, 1949. Google Scholar23. Forster RE: Exchange of gases between alveolar air and pulmonary capillary blood: pulmonary diffusing capacity, Physiol. Rev. 37: 391, 1957. CrossrefMedlineGoogle Scholar24. HarveyFerrerRichardsCournand RMMIDWA: Influence of chronic pulmonary disease on the heart and circulation, Am. J. Med. 10: 719, 1951. CrossrefMedlineGoogle Scholar25. Ogilvie C: Patterns of disturbed lung function in patients with chronic obstructive emphysema, Thorax 14: 113, 1959. CrossrefMedlineGoogle Scholar26. Liljestrand G: Regulation of pulmonary arterial blood pressure, Arch. Int. Med. 81: 162, 1948. CrossrefGoogle Scholar27. Heppleston AG: The pathology of honeycomb lung, Thorax 11: 77, 1956. CrossrefMedlineGoogle Scholar28. Heppleston AG: The pathogenesis of simple pneumoconiosis in coal workers, J. Path. and Bact. 67: 51, 1954. CrossrefMedlineGoogle Scholar29. Jacobaeus HC: Ergebnis der Bronchospirometrie, Schweiz. med. Wchnschr. 66: 865, 1936. Google Scholar30. Maier HC: Pulmonary cysts, Am. J. Surg. 54: 68, 1941. CrossrefGoogle Scholar31. Clagett OT: Surgical treatment of emphysematous blebs and bullae, Dis. of Chest 15: 669, 1949. CrossrefMedlineGoogle Scholar32. KaltreiderFray NLWW: Pathological physiology of pulmonary cysts and emphysematous bullae, Am. J. M. Sc. 197: 62, 1939. CrossrefGoogle Scholar33. BaldwinHardenGreeneCournandRichards EdADGADW: Pulmonary insufficiency. IV. A study of 16 cases of large pulmonary air cysts or bullae, Medicine 29: 169, 1950. CrossrefMedlineGoogle Scholar34. LaurenziTurinoFishman GAGMAP: Multiple pulmonary air cysts (abstract), Am. Rev. Resp. Dis. 78: 295, 1958. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: New York, N. Y.*Received for publication July 29, 1960.Presented as the John Phillips Memorial Lecture at the Forty-first Annual Session of The American College of Physicians, San Francisco, California, April 5, 1960.From the First Medical and Chest (Columbia University) Services, Bellevue Hospital; and the Department of Medicine, College of Physicians and Surgeons, New York, N. Y.Requests for reprints should be addressed to Dickinson W. Richards, M.D., Director, First Medical Division, Bellevue Hospital, 462 First Avenue, New York 16, N. Y. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byEarly History of Chronic Obstructive Pulmonary Disease 1808–1980Techniques Used in the Study of Lung Pathology: The Anatomy of EmphysemaThe Degree of Variation of Blood Perfusion and of Ventilation Within the Emphysematous Lung, and Some Related ConsiderationsPulmonary Circulation, Cardiac Function and Fluid BalanceCase conferenceDas LungenemphysemAtemnotA clinicopathological study of fatal chronic airways obstruction.Dickinson Woodruff Richards: 1895–1973Chronisch obstruktive Lungenerkrankungen: Die h�modynamische Wirkung von Digitalis beim chronischen Cor pulmonale in Ruhe und unter BelastungBronchial and extrabronchial factors in chronic airflow obstructionChronisch obstruktive Lungenerkrankungen: Lungenkreislauf, Herzfunktion und Sauerstofftransport bei unterschiedlichen klinischen ErscheinungsformenEstimation of lung function from the electrocardiogram in chronic obstructive pulmonary diseaseChronisch obstruktive Lungenerkrankungen: Klinische Erscheinungsformen und ihre Korrelation zur gest�rten AtmungsfunktionChronisches Cor pulmonale bei obstruktiven Lungenerkrankungen: Korrelation der gestörten Atmungsfunktion zur Hämodynamik des Lungenkreislaufs and kontraktilen Funktion des rechten VentrikelsDie Therapie des EmphysemsP-wave changes in chronic obstructive pulmonary diseaseThe emphysema problemLesion of the Lung in Rats Continuously Exposed to Two Parts Per Million of Nitrogen DioxideChronic obstructive bronchopulmonary diseaseEmphysema and Chronic Bronchitis: Clinical Manifestations and Their Physiologic SignificanceDisturbances of Alveolar VentilationManagement of patients with cor pulmonale—Acute and chronicCarbon Dioxide Tension and Ventilatory Mechanics in Chronic Obstructive Lung DiseaseBENJAMIN BURROWS, M.D., FRANKLIN B. SAKSENA, M.D., CARL F. DIENER, M.D.THE EMPHYSEMATOUS AND BRONCHIAL TYPES OF CHRONIC AIRWAYS OBSTRUCTIONPathogenesis of Emphysema: Experimental Observations* *From the Departments of Internal Medicine and Pathology, USAF School of Aerospace Medicine, Aerospace Medical Division (AFSC).Surgery for EmphysemaTHE ROADS TO RESPIRATORY INSUFFICIENCYTHE SLOW SPACE IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE*Mechanisms of chronic carbon dioxide retention in patients with obstructive pulmonary diseaseSpontaneous Pneumothorax in Pulmonary EmphysemaThe Fighter Versus the NonfighterChronic obstructive pulmonary diseaseRespiratory disease in U.S. soft-coal miners: Clinical and etiological considerationsTHE VARIABLE FUNCTIONAL PROGRESSION OF CHRONIC OBSTRUCTIVE LUNG DISEASEPhysical Properties of the Lungs in Giant CystsPanlobular Emphysema: Anatomy and PathodynamicsPanlobular and Centrilobular Emphysema Correlation of Clinical Findings with Pathologic PatternsHERBERT C. SWEET, M.D., F.A.C.P., JOHN P. WYATT, M.D., ANDREW J. FRITSCH, M.D., PETER W. KINSELLA, M.D.POST MORTEM DIFFERENCES IN "ASTHMA" AND IN CHRONIC BRONCHITIS 1 December 1960Volume 53, Issue 6Page: 1105-1120KeywordsBlistersChronic bronchitisDyspneaEmphysemaFibrosisHospital medicineHypoxiaPulmonary diseasesSurgeonsThorax ePublished: 1 December 2008 Issue Published: 1 December 1960 Copyright & PermissionsCopyright ©, 1960, by The American College of PhysiciansPDF downloadLoading ...