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Almost any type of lung tumor or lung cancer can compress the alveoli and reduce gas exchange capacity. In some cases the tumor will fill the alveoli. [33] Cavitary pneumonia is a process in which the alveoli are destroyed and produce a cavity. As the alveoli are destroyed, the surface area for gas exchange to occur becomes reduced.
Alveoli are the spherical outcroppings of the respiratory bronchioles. Pulmonary surfactant is a surface-active complex of phospholipids and proteins formed by type II alveolar cells . [ 1 ] The proteins and lipids that make up the surfactant have both hydrophilic and hydrophobic regions.
At altitude, this variation in the ventilation/perfusion ratio of alveoli from the tops of the lungs to the bottoms is eliminated, with all the alveoli perfused and ventilated in more or less the physiologically ideal manner. This is a further important contributor to the acclimatatization to high altitudes and low oxygen pressures.
Dead space reduces the amount of fresh breathing gas which reaches the alveoli during each breath. This reduces the oxygen available for gas exchange, and the amount of carbon dioxide that can be removed. The buildup of carbon dioxide is usually the more noticeable effect unless the breathing gas is hypoxic as occurs at high altitude.
Since atmospheric pressure is relatively constant, pressure in the lungs must be higher or lower than atmospheric pressure for air to flow between the atmosphere and the alveoli.
It exists to prevent air bubbles from forming in the blood, and from blood entering the alveoli. It is formed by the type I pneumocytes of the alveolar wall, the endothelial cells of the capillaries and the basement membrane between. The barrier is permeable to molecular oxygen, carbon dioxide, carbon monoxide and many other gases. [1]
It also means the rate of shrinking is more regular because of the stability of surface area caused by surfactant. Pleural pressure is the pressure in the pleural space. When this pressure is lower than the pressure of alveoli they tend to expand. This prevents the elastic fibers and outside pressure from crushing the lungs.
They also equalize the pressure in adjacent alveoli and, combined with increased distribution of surfactant, thus play an important role in prevention of collapse of the lung. [6] Unlike adults, in children these inter-alveolar connections are poorly developed which aids in limiting the spread of infection.