Parenchymal Lung Injury Effects on Alveolar Structure and Function


   Parenchymal lung injury refers to any disease process that injures the alveolar regions of the lung. Examples include exudative pneumonia, interstitial pneumonia, aspiration injury, and the acute respiratory distress syndrome (ARDS). A characteristic feature of all these processes is alveolar flooding and collapse from combinations of inflammatory exudates, alveolar/interstitial edema, and loss of surfactant function.
  One of the most striking physiologic effects of alveolar flooding and collapse is the development of low ventilation/perfusion (V/Q) lung units and shunts, which can produce profound hypoxemia. This same process also produces a much "stiffer" lung with consequently lower compliance values and "flattening" of the pressure volume relationship.


 
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