Figure 17-2
Schematic diagram of the lung within the chest wall showing
the tendency of the lung to assume a globular shape because of gravity and the lung's
viscoelastic nature. The tendency of the top of the lung to collapse inward creates
a relatively negative pressure at the apex of the lung, and the tendency of the bottom
of the lung to spread outward creates a relatively positive pressure at the base
of the lung. Thus, alveoli at the top of the lung tend to be held open and are larger
at end-exhalation, whereas those at the bottom tend to be smaller and compressed
at end-exhalation. Pleural pressure increases by 0.25 cm H2
O per centimeter
of lung dependency.