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
The thickness of the peculiar membrane of the arteries is very evident
in the great trunks. It constantly diminishes; a circumstance that
distinguishes it essentially from the internal membrane, which I have
found almost as thick in the tibial artery as in the aorta. It has
been thought that in certain arteries, as in the cerebral, the fibrous
coat is entirely wanting. There is no doubt that in the vertebral and
internal carotid it is thinner in proportion than in equal trunks
situated in the muscular interstices; but by examining attentively
these arteries, I have clearly distinguished circular fibres in them.
Has the thinness of their parietes an influence upon the sanguineous
effusions, which are, as we know, so frequent in the brain? I cannot
say. These effusions take place only in the capillaries, the trunks
are never the seats of them; now it is impossible to examine these
capillaries. I have sought in vain to ascertain by injections the
vessels torn in apoplexy. Besides, this hemorrhage does not resemble
that of the serous membranes; it is not an oozing through the exhalants
of the ventricles; for these cavities are very rarely the only seat
of it. Almost always these effusions take place even in the cerebral
substance, generally nearer the posterior than the anterior lobe. The
cerebellum is rarely affected by it. When the tuber annulare becomes
so, there are often small partial effusions there, separated by
medullary partitions that remain uninjured.
As to the arteries of the other parts of the body, their peculiar
membrane presents generally a pretty uniform arrangement. It has
appeared to me however, that in the interior of the viscera, of the
liver, of the spleen, it is rather thinner than in the intermuscular
spaces, and even than in the muscles.
This membrane is composed of very distinct fibres, adhering to each
other, easily separated however, arranged in layers, in such a manner
that after having raised the cellular covering, we can without
difficulty separate these different layers from each other; it is
this that has made many authors believe that the great arteries were
composed of a great number of coats. The fibres that form these layers
are circular or nearly so; the external ones appear to be attached to
the compact cellular texture that is contiguous. In fact, by raising
this, a number more or less considerable adheres to it always in an
intimate manner. As to the internal membrane, it does not appear to
furnish any attachment; we raise it easily, without bringing with it
any arterial fibres. The manner of the adhesion of these fibres with
the compact neighbouring texture, appears to me to have great analogy
with the origin of the organic muscular fibres, which are attached in a
great number of places, to the sub-mucous texture.
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