Английский язык для медиков: конспект лекций

Causes of decreased compliance: pulmonary fibrosis, pulmonary venous congestion and edema, deficiency of surfactant. Causes of increased compliance: emphysema, age.

New words

muscles – мускулы, мышцы

respiration – дыхание

inspiration – вдох

always – всегда

process – процесс

following – следующий

to be involved – быть вовлеченным

diaphragm – диафрагма

the most – наиболее

important – важный

inspiration – вдохновение

convex – выпуклый

rest – отдых

to flattens – сглаживаться

contraction – сокращение

elongating – удлинение

the thoracic cavity – грудная впадина

the thoracic – грудная клетка

the rib cage -грудное ребро

upward – вверх

outward – наружу

expanding – расширение

volume – объем

compliance – согласие

some – некоторые

to remain – остаться

saline – солончак

to fill – заполняться

Сравните следующие предложения.

1. After dinner he drank some juice. – После обеда он выпил некоторое количество сока.

2. He does not drink milk after dinner, he drinks juice. – Он не выпил молока после обеда, а выпил сок.

3. I brought some books from the library. – Я взял некоторое количество книг в библиотеке.

4. I like books. – Я люблю книги.

Зставьте some, any, no или оставьте пропуски незаполненными, ориентируясь по смыслу.

1. There is… ink in my pen.

2. Is there. snow in the treet this morning?

3. My mother likes… musik.

4. Are there. chess-players here?

5. There are. diagrams in the new book.

6. Are there. newspapers on the table?

7. Was there. water in the glass or… milk?

8. There was. soap in the box; he used wash his hands.

9. There was. soap in the box: it smells of. soap.

10. There are… letters for you on the table.

11. Do you like… apples?

12. Were there. of our teachers at the stadium?

13. There were. students of our group at the consultation yesterday.

14. Will there be… concerts at the club next month?

15. There were. yellow and green pencils on the table.

16. People need… oxygen for breathing.

17. Are there. mistakes in my dictation?

18. There are. juice in your cup.

19. My brother doesn't like. carrots.

20. I have. books now.

Answer the questions.

1. Is inspiration always an active process?

2. What muscles are involved in the mechanism of breathing?

3. What muscle is the most important of inspiration?

4. What does contraction of the external intercostals lift?

5. What muscles are more important for deep inhalations?

6. What muscles are not active during quiet breathing?

7. Is expiration normally a passive process?

8. Are the lung and chest wall elastic?

9. Where are expiratory muscles used in?

10. Where do the internal intercostal muscles pull the ribs?

Make the sentences of your own using the new words (10 sentences).

Make your own sentences using SOME, ANY, NO, EVERY (10 sentences).

Find one word, which is a little bit different in meaning from others (найдите одно слово, которое немного отличается от других по смыслу):

1) a) air; b) muscles; c) organs;

2) a) eyes; b) brows; c) arms;

3) a) teeth; b) tongue; c) ligament;

4) a) coccyx; b) pelvis; c) shoulder;

5) a) elbow; b) arm; c) ear.

ЛЕКЦИЯ № 28. Surface tension forces

In a liquid, the proximity of adjacent molecules results large, inter-molecular, attractive (Van der Waals) forces that serve to stabilize the liquid. The liquid-air surface produces inequality of forces that are strong on the liquid side and weak on the gas side because of the greater distance between molecules in the gas phase. Surface tension causes the surface to maintain as small an area as possible. In alveoli, the result a spherically-curved, liquid lining layer that tends to be pulled inward toward the center of curvature of the alveolus. The spherical surface of the alveolar liquid lining behaves in manner similar to a soap bubble. The inner and outer surface of a bubble exert an inward force that creates a greater pressure inside than outside the bubble. Interconnected alveoli of different sizes could lead to collapse of smaller alveoli (atelectasis) into larger alveoli, because of surface tension, the pressure inside the small alveolus (smaller radius of curvature) is greater than that of the larger alveolus. Without surfactant, gas would therefore move from smaller to larger alveoli, eventually producing or giant alveolus.

Pulmonary surfactant: Pulmonary surfactant is a phospholipid (comprised primari ly of dipalmitoyl phosphatidylcholine) synthesized by type II alveolar epithelial cells. Surfactant reduces surface tension, thereby preventing the collapse of small alveoli. Surfactant increases the compliance of the lung and reduces the work of breathing.