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
Longitudinally, the arteries are more capable of stretching, than
they are transversely. We may be convinced of this, by drawing out
these vessels, to place a ligature upon them in an amputated stump.
By cutting upon a dead body a portion of artery, and drawing it in a
contrary direction, it is evidently elongated. It is necessary in these
experiments, to pay attention to the development of the folds. In fact,
I have said, that this development of the folds performs a principal
part in the elongation of the arteries situated in the parts that are
dilated.
It is evident that in the extensibility in a transverse direction, it
is the circular fibres of the peculiar membrane that especially resist;
that on the contrary, in the extensibility in a longitudinal direction,
it is the common membrane that opposes the resistance, since there are
no longitudinal fibres. It is not astonishing then that the first kind
of extensibility should be less evident than the second.
_Contractility._
It is necessary to consider it in a transverse and in a longitudinal
direction.
Considered in the first point of view, contractility is much more
evident than extensibility. When the artery is no longer distended with
blood, it contracts in a sensible manner. It is to this contraction,
that the following phenomena must be referred; 1st. the umbilical
artery and the ductus arteriosus, become like ligaments after birth,
by the adhesion of their parietes which are contracted. 2d. If we
make a ligature upon an artery, the whole portion comprised between
this ligature and the first collateral branch, soon exhibits the same
phenomenon, as is proved by the operation for aneurism. 3d. If we
include a portion of the carotid between two ligatures, and afterwards
empty it by a puncture, it suddenly loses half its caliber. 4th. In
dogs in whom I have transfused blood in order to produce artificial
plethora, I have observed the arteries to be almost double in diameter,
to what they are in those of the same size, who had suffered great
hemorrhage. Two animals of the same size, one killed by hemorrhage the
other by asphyxia, exhibit the same difference. 5th. These experiments
shew me satisfactorily the cause of a large and small pulse, a cause
admitted moreover by most physiologists. The artery is certainly more
or less large, according to the quantity of blood that fills it. There
is a point of extension that it cannot pass; but it contracts often
for the want of blood, so as to be as it were, but a mere thread. 6th.
Though you may have opened but few bodies, you have no doubt been
astonished, that in those of the same size, the arteries have often
very different diameters. This arises wholly from what takes place at
the moment of death. If, from the want of blood, the arteries are for
a long time contracted, they remain in this state, as happens to the
heart in death by hemorrhage, &c. This is so true, that arteries of
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