Pleura: Understanding the Lung Covering - Definition & Function
The pleura is a double-layered serous membrane enclosing each lung and lining the thoracic cavity.
Layers
- Visceral Pleura: Adherent to lung surface; follows fissures. Insensitive to pain.
- Parietal Pleura: Lines thoracic wall, diaphragm, mediastinum. Somatic innervation (pain-sensitive).
Pleural Cavity
Potential space between layers containing 5–15 mL pleural fluid (transudate). Functions:
- Lubrication: Frictionless sliding during respiration.
- Surface Tension: Couples lung to chest wall (transmits expansion).
- Pressure Gradient: Negative intrapleural pressure (-5 cmH₂O at rest) keeps lungs inflated.
Clinical Relevance
- Pleuritis: Inflamed pleura → sharp pleuritic pain.
- Pleural Effusion: Fluid accumulation → dyspnea, dullness.
- Pneumothorax: Air entry → lung collapse.
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