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
In the first periods of the fœtus, the layers and arterial fibres are
indistinct; we should say that the coat of the artery is homogeneous.
But it has however much more consistence than most of the surrounding
textures; this consistence corresponds with that of the heart. Destined
to distribute every where the nutritive matter, the arteries ought
necessarily to precede the other organs in their nutrition. This early
growth, always concomitant with that of the heart, would alone prove
that the arteries are made to develop themselves, and that the heart
does not hollow them out, as Haller has said, in the interior of our
organs by the force of its impulse. Besides this mechanical manner of
considering their formation is evidently contrary to the known laws of
the animal economy.
II. _State of the Vascular System with Red Blood during growth._
At the moment of birth, two great revolutions take place in the
system with red blood; 1st, a mechanical one, if it may be so said,
in the phenomena of the course of the blood; 2d, a chemical one, in
the nature of this fluid. The mechanical revolution depends upon the
entire cessation of the passage of the blood through the foramen ovale,
the ductus arteriosus, the umbilical arteries and veins. The chemical
revolution depends upon the formation of red blood. I will now examine
this last.
The fœtus finds at birth that all surrounding objects are the causes
of great excitement; the cutaneous surface, all the origins of the
mucous, are strongly stimulated. The sensations they experience are
even painful, because the difference is very great between the waters
of the amnios and the bodies with which the fœtus comes in contact at
birth, and every abrupt change in the sensations is painful. Habit
soon familiarizes this sensation; but it is not less real at birth,
and it may be said that this moment is as painful for the infant as
the mother. Now, as every lively sensation is generally accompanied
with great motions a general agitation succeeds the impression that the
fœtus perceives from without; all the muscles move, the intercostals
and the diaphragm like the others. The air which already filled the
mouth and wind-pipe, then enters the lungs, and there colours the blood
red, then it is alternately expired and inspired until death. The first
inspiration then is, in this point of view, a phenomenon analogous
to all the motions that the change of external excitement suddenly
produces at birth in the voluntary muscles of the fœtus.
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