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Lungs-WPS Office

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Lungs

Position and gross structure


There are two lungs, one lying on
each side of the midline in the thoracic
cavity. They are cone shaped and
have an apex, a base, a tip, costal
surface and medial surface.
The apex This is rounded and rises into the
root of the neck, about 25 mm above the
level of the middle third of the clavicle. It
lies close to the first rib and the blood vessels
and nerves in the root of the neck.
The base -This is concave and semilunar in
shape, and lies on the upper (thoracic) surface
of the diaphragm
The costal surface
This surface is convex and lies directly against the
costal cartilages, the ribs and the intercostal
muscles.

The medial surface


This surface is concave and has a roughly
triangular-shaped area, called the hilum, at the
level of the 5th, 6th and 7th thoracic vertebrae.
Structures forming the root of the lung enter
and leave at the hilum.

These include the primary bronchus, the


pulmonary artery supplying the lung and the
two pulmonary veins draining it, the bronchial
artery and veins, and the lymphatic and nerve
supply
The area between the lungs is the mediastinum. It is
occupied by the heart, great vessels, trachea, right and
left bronchi, oesophagus, lymph nodes, lymph vessels
and nerves.

The right lung is divided into three distinct lobes:


superior, middle and inferior.
The left lung is smaller because the heart occupies
space left of the midline.
It is divided into only two lobes:
superior and inferior. The divisions between the lobes
are called fissures.
Pleura and pleural cavity

The pleura consists of a closed sac of serous


membrane (one for each lung) which
contains a small amount of serous fluid.

The lung is invaginated (pushed into) into


this sac so that it forms two layers:
one adheres to the lung and the other to the
wall of the thoracic cavity
The visceral pleura
This is adherent to the lung, covering each
lobe and passing into the fissures that
separate them.

The parietal pleura


This is adherent to the inside of the chest wall
and the thoracic surface of the diaphragm. It
is not attached to other structures in the
mediastinum and is continuous with the
visceral pleura round the edges of the hilum
The pleural cavity
This is only a potential space and
contains no air. In health, the two layers
of pleura are separated by a thin film of
serous fluid (pleural fluid), which allows
them to glide over each other,
preventing friction between them during
breathing. The serous fluid is secreted by
the epithelial cells of the membrane
Interior of the lungs

The lungs are composed of the bronchi


and smaller air passages, alveoli,
connective tissue, blood vessels, lymph
vessels and nerves, all embedded in an
elastic connective tissue matrix. Each
lobe is made up of a large number of
lobules.
Pulmonary blood supply

The pulmonary trunk divides into the


right and left pulmonary arteries, which
transport deoxygenated blood to each
lung. Within the lungs each pulmonary
artery divides into many branches,
which eventually end in a dense capillary
network around the walls of the alveoli .
The walls of the alveoli and the
capillaries each consist of only one
layer of flattened epithelial cells.
The exchange of gases between air in
the alveoli and blood in the capillaries
takes place across these two very fine
membranes (together called the
respiratory membrane)
The pulmonary capillaries join up,
forming two pulmonary veins in each
lung. They leave the lungs at the hilum
and carry oxygenated
blood to the left atrium of the heart.
The innumerable blood capillaries and
blood vessels in the lungs
are supported by connective tissue.

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