General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
It is almost always in regions remote from the heart that anastomoses
are met with. We find scarcely any in the trunks that arise from
the aorta. They begin to be more frequent in the branches, as in
the mesenteric, the cerebral, &c. The more the smaller branches
are subdivided, the more numerous are the anastomoses. In the last
ramifications they are so numerous that they form an inextricable
network. This arrangement is calculated to facilitate the circulation,
which the anastomoses favour in places, where the motion of the blood
is liable to experience obstacles. It is on this account that in the
cavities in which the influence of the neighbouring parts upon the
motion is less sensible, the anastomoses become more frequent, as in
the brain, the abdomen, &c.; whilst they are more rare in the muscular
interstices of the extremities, &c. It is not then a tree with distinct
branches that forms the arterial system, but a tree all the parts of
which communicate together, more frequently as they are the further
removed from the origin.
The principal object of the anastomoses, that of obviating the
obstacles the blood experiences in its course, is fulfilled in many
cases. Thus, after the ligature of a wounded artery or one with an
aneurism, after the spontaneous obliteration of one of these vessels,
we see the anastomoses between the fine branches, above and below
this obliteration or this ligature, continue the circulation in the
part. These collateral vessels then increase often in size; but more
frequently still, the course of the blood is supported almost entirely
by the capillary vessels.
Anastomoses suppose then the vitality of the arteries. It is because
these vessels are not inert, but act themselves upon the fluid they
contain, that the circulating phenomena are subject to so many
variations; that oftentimes, and especially by the influence of
the passions, the spasm of their extremities, principally of the
capillaries, obliges the blood to flow back, a reflux which is favoured
by the anastomoses. This reflux is necessary also in inflammations, in
the different engorgements of our organs, &c. How would the circulation
be able to go on, if all the small branches went to their respective
destinations, without communicating among themselves? Would not the
least embarrassment occasion a troublesome stagnation there?
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