Prisk G Kim
Department of Medicine, University of California, San Diego.
Curr Pathobiol Rep. 2018 Sep;6(3):159-166. doi: 10.1007/s40139-018-0174-x. Epub 2018 Jul 13.
The challenges presented to the lung by the space environment are the effects of prolonged absence of gravity, the challenges of decompression stress associated with spacewalking, and the changes in the deposition of inhaled particulate matter.
Although there are substantial changes in the function of the lung in partial gravity, the lung is largely unaffected by sustained exposure, returning rapidly to a normal state after return to 1G. Provided there is adequate denitrogenation prior to a spacewalk, avoiding the development of venous gas emboli, the lung copes well with the low pressure environment of the spacesuit. Particulate deposition is reduced in partial gravity, but where that deposition occurs is likely in the more peripheral airspaces, with associated longer retention times, potentially raising the toxicological potential of toxic dusts.
Despite its delicate structure the lung performs well in partial gravity, with the greatest threat likely arising from inhaled particulate matter (extra-terrestrial dusts).
太空环境给肺部带来的挑战包括长期失重的影响、太空行走相关的减压应激挑战以及吸入颗粒物沉积的变化。
尽管在部分重力环境下肺功能会发生显著变化,但肺在持续暴露于该环境时基本不受影响,返回1G重力环境后能迅速恢复到正常状态。只要在太空行走前进行充分的排氮,避免静脉气体栓塞的发生,肺就能很好地应对航天服的低压环境。在部分重力环境下颗粒物沉积会减少,但沉积部位可能更多在外周气腔,且滞留时间更长,这可能会增加有毒粉尘的毒理学风险。
尽管肺结构 delicate,但在部分重力环境下仍能良好运作,最大的威胁可能来自吸入的颗粒物(外星尘埃)。