Atelectasis and Pulmonary Edema

Localized or diffuse collapse of alveoli in the lungs may, if the

condition persists, lead to arterial hypoxia which may be extremely

undesirable under the stresses of space flight. The alveoli are probably

unstable when pure oxygen is breathed; they tend to collapse if there is

blockage of the airways, especially at low pressures. This collapse

occurs because each of the gases present in the alveoli (oxygen, water

vapor, and carbon dioxide) is subject to prompt and complete absorption

from the alveoli by the blood.

The alveoli are normally stabilized against collapse by the presence of

inert and relatively insoluble gas (nitrogen) and an internal coating of

lipoprotein substances with low surface tension.

Theoretical and experimental results strongly suggest the desirability

of using oxygen-inert gas atmospheres for long missions to avoid

atelectasis and other gas absorption phenomena, such as retraction of

the eardrum. However, further experimental evidence is required both to

confirm this point and to establish its upper limit of suitability of

pure oxygen atmospheres.

At Ohio State University in 1962, scientists studied the effect on young

rats exposed for 27 days to 100 percent oxygen (with no nitrogen), at a

reduced barometric pressure equivalent to 33 000 feet altitude. The rats

showed no difference in growth rate, oxygen consumption, food and water

intake, or behavior from control rats in air at 1 atm.

Significant Achievements in Space Bioscience 1958-1964 · 第 47 / 77 题