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
At birth, when the internal motions become suddenly very numerous,
on account of respiration, digestion and the excretions, I presume
that the serous surfaces become the seat of a more active exhalation.
Besides, as very little blood penetrates them, the sudden production
of the red blood and its entrance by the arterial system, where it
succeeds the black blood, produces less changes upon them than upon the
mucous surfaces and the muscular system.
The serous membranes grow like the other organs; for a long time
delicate and diaphanous, they gradually thicken as we advance in age,
and become of a dull white. Their suppleness diminishes as their
density increases; they resist the different reagents so much the less
as the subjects are younger. In infants, maceration and ebullition
reduce them much more quickly to a homogeneous pulp.
I have observed that in the fœtus which has become putrid, there is
often collected different gases in the serous cavities, as may be
proved by opening these cavities under water; a phenomenon much less
evident in the adult, in whom the cellular texture is often wholly
emphysematous by the putrefactive motion, without the escape of any
thing by the canula of a trochar which is plunged into the peritoneal
cavity or into that of the pleura, as I have many times ascertained. In
general, there is disengaged much more aeriform fluid from the organs
of the fœtus, than from those of the adult, in the experiments of
maceration.
II. _State of the Serous System in the after Ages._
In the adult, the serous system remains a long time without undergoing
any very sensible change; its membranes follow only the laws of
the organs they surround. Thus in the age nearest youth, the serous
surfaces of the chest are the most frequent seat of inflammations,
dropsies, &c.; whilst in that bordering on old age the inferior
surfaces like the peritoneum, are the more often affected.
In old age, the serous system becomes dense and compact; its adhesions
to the neighbouring parts are more evident; thus it is less capable of
the different locomotions of which we have spoken. Its forces, which
are weakened, render absorption in it less easy; it is the frequent
seat of dropsy. When it is affected with some diseases, its want of
energy imparts to them a remarkable chronic character. There are many
old people at the Hôtel Dieu with tubercular inflammations of the
peritoneum, which they have had for a long time, whilst young persons
are overcome much quicker by the same inflammations. Thus cancers in
aged persons often remain almost inert, they frequently are not even
painful, whilst their periods are usually most rapid in adults.
The serous effusions are more rare than the infiltrations of the
sub-cutaneous cellular texture in old people; but they take place more
commonly than those of the intermuscular texture.
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