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
From what has been said, it appears, that the two portions of the
blood of the fœtus are almost wholly separate in the first months; all
that comes from the inferior vena cava goes into the ascending aorta;
all from the superior passes into the descending, the lungs receiving
scarcely any except by the bronchial arteries for their nutrition. But
as the period of birth approaches, these two portions of blood begin
to mix, and the circulation then has an arrangement between that of
the adult and that of the first months. At birth even, the foramen
ovale and the ductus arteriosus are much contracted, the circulation
goes on in the mother's womb almost in the same way as it does after
birth; the whole difference is that the fluid is of the same nature,
because respiration has not taken place. The sudden change of the
circulation at birth, arises particularly from the introduction of
red blood into the economy. As to the mechanical phenomena, they are
gradually produced by the gradual contraction of the two openings of
communication. The blood gradually ceases to move from the inferior to
the superior capillaries; it then goes from both of these to those of
the lungs and reciprocally.
In considering the circulating phenomena, we err in supposing
that their change is sudden at birth. It is sufficient to examine
the foramen ovale and the ductus arteriosus at different periods
of pregnancy, to see that they contract successively, and that
consequently these phenomena are successive, so that if the fœtus
should remain in the womb a long time beyond its period, and the
contraction should continue in the foramen ovale and the ductus
arteriosus, the blood would circulate as in the adult, from
the pulmonary to the general capillary system exclusively, and
reciprocally. The only difference would be in the uniformity of its
colour, because it would pass through the first system, without coming
in contact with the air.
I do not say that the entrance of the air does not suddenly bring
to the lungs the remainder of the blood which passed by the ductus
arteriosus; but this kind of sudden turn takes place only in a part of
the blood of the pulmonary artery; a part already passed through the
lungs before birth, though the air cells were empty.
In general, there is a constant relation between the quantity of blood
that the right ventricle sends to the lungs, and that which the left
sends to the inferior parts. The more the first increases, the more
abundant is the second; this last evidently exceeds that which goes to
the superior parts. These three things, 1st, the quantity of the blood
of the inferior vena cava which mixes with that of the superior, and
passes with it into the right auricle; 2d, that which from the right
ventricle goes through the lungs and returns to the left auricle;
3d, that which from the left ventricle goes to the descending aorta,
constantly increase as the period of accouchment approaches.
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