[External respiration and gas exchange in space flights].

This is an overview of investigations performed in actual and simulated flights to study the effects of microgravity and acceleration, space cabin and space suit artificial atmosphere on the respiratory function. The conceptual prediction of the effects that the space environment produces on the respiratory system suggests the following changes in respiration, gas exchange, and acid-base equilibrium: respiration biomechanics; gas diffusion and ventilation-perfusion ratios in the lungs; regulation of respiration and function of respiratory muscles; lung hydration and blood filling; respiratory changes in acid-base equilibrium and blood gases. Besides, the combined effect of microgravity, acceleration, low barometric pressure and modified gas composition may cause lung atelectases and concomitant disorders in pulmonary ventilation and gas exchange. These changes may have an adverse effect on the health condition and physical work capacity.