Page 87 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
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A.  Obstructive Lung Diseases
                      Normal       Infection
                                          Allergy
         Cartilage                                        Asthma
         Ciliated                          Inflammation
         cells
                                                        Histamine,
         Goblet                                         leukotrienes
         cells
         Bronchial
         glands                                                        Disease
         Muscles

         Bronchioles (section)                                         Lung
                                                                       Obstructive


                  Mucus sekretion  Mucosal edema  Muscle contraction

            Inspiration Expiration  Increased resistance to breathing  0.5  Abnormal  Normal  Plate 4.6
         Alveolar pressure (kPa)  0  Normal  Abnormal  Work of  Lung volume (L)  Expiration  Inspiration
          +1


                                   breathing
          –1
                                                       0
                                                                –1
                 Time (s)    0.5   Resting level    0 Pleural pressure Ppl (kPa)
                             Lung volume (L)
               Abnormal ventilation  Expiratory  Inspiratory  Expiration requires
                                                  increased pressure
                              0
                                 0 Pleural pressure  –1
                                    Ppl (kPa)      Bronchial
                                                   compression
                Hypoxia
                               Dyspnea
                                                  Labored
                                                  expiration
                                  Compression of
                  Constriction of  blood vessels
                  pulmonary vessels
                                              Overdistension
                                              of lungs

                    Pulmonary hypertension  Emphysema



                             Right heart failure                      77

       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
       All rights reserved. Usage subject to terms and conditions of license.
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