Fluid balance and non-respiratory functions of the lung

被引:0
|
作者
Kirkman, Emrys [1 ,2 ,3 ]
机构
[1] Dstl, Biophys & Trauma Surg Sci, Porton Down, England
[2] Univ Durham, Durham, England
[3] James Cook Univ Hosp, Middlesbrough, Middx, England
来源
关键词
ARDS; lung defences; pulmonary blood reservoir; pulmonary metabolism; pulmonary oedema; Starling forces;
D O I
10.1016/j.mpaic.2009.01.003
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
The primary function of the lung is gas exchange between alveolar gas and the blood flowing through the nearby capillaries. This stage of gas exchange takes place by diffusion. Because gases such as oxygen diffuse relatively slowly through liquids it is essential that the fluid barrier is kept as short as possible. Furthermore, it is vital that interstitial fluid does not escape into the alveoli because this would abolish gas - exchange in the flooded alveoli and lead to shunt. A number of physiological mechanisms normally ensure that fluid that does leave the - pulmonary microvasculature is quickly removed and hence gas transfer is not impaired. The lungs, in addition, perform a number of other important functions, including modification of circulating levels of a range of biologically - active materials, filtration of blood and serving as a reservoir of blood for rapid adjustment of input to the left atrium when needed.
引用
收藏
页码:148 / 150
页数:3
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