Respiratory System
Respiratory System
Respiratory System
Nose
Pharynx
Larynx
Trachea
Bronchi
Lungs—alveoli
Nasal cavity
Oral cavity
Nostril Pharynx
Larynx
Trache
a
Left main
Right main (primary)
(primary) bronchus
bronchus
Left lung
Right lung
Diaphragm
Cribriform plate
of ethmoid bone
Sphenoidal sinus Frontal sinus
Posterior nasal
Nasal cavity
aperture
• Nasal conchae (superior,
Nasopharynx middle, and inferior)
Larynx
Esophagus • Epiglottis
• Thyroid cartilage
Trachea • Vocal fold
• Cricoid cartilage
(b) Detailed anatomy of the upper respiratory tract
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The Nose
Paranasal sinuses
Cavities within the frontal, sphenoid, ethmoid, and
maxillary bones surrounding the nasal cavity
Sinuses:
Lighten the skull
Act as resonance chambers for speech
Produce mucus
Cribriform plate
of ethmoid bone
Sphenoidal sinus Frontal sinus
Posterior nasal
Nasal cavity
aperture
• Nasal conchae (superior,
Nasopharynx middle, and inferior)
Larynx
Esophagus • Epiglottis
• Thyroid cartilage
Trachea • Vocal fold
• Cricoid cartilage
(b) Detailed anatomy of the upper respiratory tract
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The Pharynx
Pharynx
• Nasopharynx
• Oropharynx
• Laryngopharynx
Cribriform plate
of ethmoid bone
Sphenoidal sinus Frontal sinus
Posterior nasal
Nasal cavity
aperture
• Nasal conchae (superior,
Nasopharynx middle, and inferior)
Larynx
Esophagus • Epiglottis
• Thyroid cartilage
Trachea • Vocal fold
• Cricoid cartilage
(b) Detailed anatomy of the upper respiratory tract
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The Larynx
Epiglottis
Spoon-shaped flap of elastic cartilage
Protects the superior opening of the larynx
Routes food to the posteriorly situated esophagus and
routes air toward the trachea
During swallowing, the epiglottis rises and forms a lid
over the opening of the larynx
Cribriform plate
of ethmoid bone
Sphenoidal sinus Frontal sinus
Posterior nasal
Nasal cavity
aperture
• Nasal conchae (superior,
Nasopharynx middle, and inferior)
Larynx
Esophagus • Epiglottis
• Thyroid cartilage
Trachea • Vocal fold
• Cricoid cartilage
(b) Detailed anatomy of the upper respiratory tract
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The Trachea
Posterior
Mucosa
Esophagus
Submucosa
Trachealis Lumen of Seromucous
muscle trachea
gland in
Hyaline
submucosa
cartilage
Adventitia
(a) Anterior
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Figure 13.3b Anatomy of the trachea and esophagus.
(b)
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The Main Bronchi
Nasal cavity
Oral cavity
Nostril Pharynx
Larynx
Trache
a
Left main
Right main (primary)
(primary) bronchus
bronchus
Left lung
Right lung
Diaphragm
Intercostal muscle
Rib
Parietal pleura
Lung Pleural cavity
Trachea Visceral pleura
Thymus
Esophagus
(in posterior mediastinum)
Root of lung
at hilum
• Left main bronchus
Right lung • Left pulmonary artery
•Left pulmonary vein
Left lung
Thoracic wall
Pulmonary trunk
Pericardial
membranes Heart (in mediastinum)
Anterior mediastinum
Terminal
bronchiole Alveolar sac
Alveolar
duct Alveolar
pores
Alveolus
Red blood
cell
Endothelial
cell nucleus Capillary
Alveolar
pores
Capillary O2
CO2
Macrophage
Alveolus
Nucleus of
squamous
epithelial cell
Respiratory Alveolar epithelium
membrane
Fused basement
membranes
Capillary endothelium
Alveoli Red blood Surfactant- Squamous
(gas-filled cell in secreting epithelial cell
air spaces) capillary cell of alveolar wall
Pulmonary ventilation
Mechanical process that depends on volume changes
in the thoracic cavity
Volume changes lead to pressure changes, which lead
to the flow of gases to equalize pressure
Inspiration (inhalation)
Diaphragm and external intercostal muscles contract
Intrapulmonary volume increases
Gas pressure decreases
Air flows into the lungs until intrapulmonary pressure
equals atmospheric pressure
External
Full inspiration
intercostal
(External
muscles
intercostals contract)
Diaphragm moves
inferiorly during
contraction
(a) Inspiration: Air (gases) flows into
the lungs
Inspiration Expiration
+2
to atmospheric pressure
Intrapulmonary
Pressure relative
+1 pressure
–1
–2
(a)
Expiration (exhalation)
Largely a passive process that depends on natural
lung elasticity
Intrapulmonary volume decreases
Gas pressure increases
Gases passively flow out to equalize the pressure
Forced expiration can occur mostly by contraction of
internal intercostal muscles to depress the rib cage
Intrapleural pressure
The pressure within the pleural space) is always
negative
Major factor preventing lung collapse
If intrapleural pressure equals atmospheric pressure,
the lungs recoil and collapse
Expiration
External
(External
intercostal
muscles intercostals relax)
Diaphragm moves
superiorly as
it relaxes
(b) Expiration: Air (gases) flows out of
Inspiration Expiration
to atmospheric pressure
+2
Pressure relative
Intrapulmonary
+1
pressure
–1
–2
(a)
Volume of
breath
0.5
Volume (L)
–0.5
(b)
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Respiratory Volumes and Capacities
Residual volume
Air remaining in lung after expiration
Cannot be voluntarily exhaled
Allows gas exchange to go on continuously, even
between breaths, and helps keep alveoli open
(inflated)
About 1,200 ml
Vital capacity
The total amount of exchangeable air
Vital capacity = TV + IRV + ERV
4,800 ml in men; 3,100 ml in women
Dead space volume
Air that remains in conducting zone and never reaches
alveoli
About 150 ml
Functional volume
Air that actually reaches the respiratory zone
Usually about 350 ml
Respiratory capacities are measured with a
spirometer
6,000
5,000 Inspiratory
reserve volume
Milliliters (ml)
4,000 3,100 ml
Vital
capacity
3,000 4,800 ml Total lung
Tidal volume 500 ml capacity
Expiratory 6,000 ml
2,000
reserve volume
1,200 ml
1,000
Residual volume
1,200 ml
0
CO2 O2
O2 CO2 O2 CO2
External
respiration
Pulmonary Pulmonary
arteries Alveolar
capillaries veins
Blood Blood
leaving leaving
tissues and lungs and
entering entering
lungs: tissue
capillaries:
Heart
O2 CO2 O2 CO2
Tissue
capillaries
Systemic Systemic
veins arteries
Internal
respiration CO2 O2
Tissue cells:
O2 CO2
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External Respiration
O2 CO2
Loading
of O2 Unloading
of CO2
Pulmonary capillary
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Gas Transport in the Blood
O2 CO2
Loading
of O2 Unloading
of CO2
Pulmonary capillary
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Gas Transport in the Blood
O2 CO2
Loading
of O2 Unloading
of CO2
Pulmonary capillary
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Internal Respiration
Tissue cells
CO2
O2
Loading
Unloading
of CO2
of O2
Systemic capillary
O2 sensor
in aortic body
of aortic arch
Chronic bronchitis
Mucosa of the lower respiratory passages becomes
severely inflamed
Excessive mucus production impairs ventilation and
gas exchange
Patients become cyanotic and are sometimes called
“blue bloaters” as a result of chronic hypoxia and
carbon dioxide retention
Emphysema
Alveoli walls are destroyed; remaining alveoli enlarge
Chronic inflammation promotes lung fibrosis, and lungs
lose elasticity
Patients use a large amount of energy to exhale; some
air remains in the lungs
Sufferers are often called “pink puffers” because
oxygen exchange is efficient
Overinflation of the lungs leads to a permanently
expanded barrel chest
Cyanosis appears late in the disease
• Tobacco smoke
• Air pollution
• Airway obstruction
or air trapping
• Dyspnea
• Frequent infections
Respiratory
failure
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Respiratory Disorders
Lung cancer
Leading cause of cancer death for men and women
Nearly 90 percent of cases result from smoking
Aggressive cancer that metastasizes rapidly
Three common types
1. Adenocarcinoma
2. Squamous cell carcinoma
3. Small cell carcinoma