Elastic behavior and structure of normal and emphysematous lungs post mortem

Am Rev Respir Dis. 1980 Jan;121(1):127-36. doi: 10.1164/arrd.1980.121.1.127.

Abstract

To examine the relationship between lung structure and function, static deflation pressure-volume curves were measured post mortem in 14 normal and 7 emphysematous lungs, and the results were compared to morphometric measurements of lung. Elastic behavior was described satisfactorily by an exponential function: V = A -Be-KP, where V is lung volume, P is static recoil pressure, and A, B, and K are constants. The constant K, an index of pulmonary elasticity, was closely related to a morphometric measurement of mean alveolar size. In normal lungs the decrease in pulmonary elasticity with age was quantified by an increase in K. When emphysema was present, K was invariably increased by more than 2 SD above the mean predicted value for age, reflecting the abnormally increased distensibility of alveoli in this disorder. The present findings indicate that a similar analysis of pressure-volume measurements obtained during life will reliably detect the presence of pulmonary emphysema in patients with chronic airflow limitation.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aging
  • Autopsy
  • Elasticity
  • Female
  • Humans
  • Lung Compliance
  • Male
  • Middle Aged
  • Pulmonary Alveoli / anatomy & histology
  • Pulmonary Alveoli / pathology
  • Pulmonary Alveoli / physiopathology*
  • Pulmonary Emphysema / pathology
  • Pulmonary Emphysema / physiopathology*