General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 3 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
In acute diseases, the serous surfaces receive also equally the
sympathetic influence of the affected organs. If we could then see
them, we should find that they were like the skin, more or less moist,
more or less dry, according to the different periods of the disease.
What proves it is, that at the death which follows the disease, the
serum of the pleura, the pericardium, the peritoneum, &c. varies
remarkably. Sometimes it is evidently increased, at others it is almost
nothing; this depends upon the time in which the subject died. If it is
whilst exhalation is very abundant, we find much serum; it is almost
nothing if life has been sufficiently prolonged to allow absorption to
take place. If the surrounding air did not dissolve the sweat, or if
the skin was in the form of a sac, we should find it with very variable
degrees of moisture, according as the subjects had died in sweat, or
with a suppression of the cutaneous exhalation.
ARTICLE FOURTH.
DEVELOPMENT OF THE SEROUS SYSTEM.
I. _State of this System in the First Age._
All the serous surfaces are extremely delicate in the fœtus. In opening
the thorax by a longitudinal section of the sternum and examining the
pleura in the mediastinum where it is free on both sides, it is found
to have less thickness than the transparent layers of the omentum or
the arachnoides in the adult. The peritoneum is a little thicker in
proportion, but yet its delicacy is very great. The comparison of soap
bubbles is hardly sufficient to convey an idea of the fineness of the
texture of the omentum and the arachnoides.
At this period the fluid that lubricates the serous surfaces is much
more unctuous and viscid than it is afterwards; by carrying the fingers
over these surfaces at the different ages, the difference is easily
perceived. It might almost be said that the tangible qualities of the
serous fluids then approximate those of the synovia. I know not to what
this difference belongs.
Besides, the quantity of these fluids does not appear to be so great in
proportion as that of the cellular fluids, with which they have however
so much analogy; which is probably owing to this, that the internal
motions being less numerous, on account of the inaction of most of the
organic muscles, less fluid is necessary to lubricate the surfaces.
The growth of the serous system is always in proportion to that of the
organs which it covers. The arachnoides is larger in proportion than
it will be in the adult; it seems even, like the brain, to become then
the seat of a more active labour; thus diseases are more frequent in
it. The increase of exhalation is more common in it than in all the
other serous sacs; hence hydrocephalus.
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