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
Extensibility is very evident in the organic muscles. The dilatation of
the intestines and the stomach by aliments, by the extrication of gas,
by the fluids that are found there, that of the bladder by the urine,
by injections that are forced in, &c. are essentially owing to this
extensibility.
This property is characterized here by two remarkable attributes; 1st,
by the rapidity with which it can be put into action; 2d, by the very
great extent of which it is susceptible.
The stomach and intestines pass in an instant from complete vacuity
to great extension. Artificially distended, the bladder becomes
immediately of a size treble, quadruple even of that which is natural
to it. It sometimes however resists, but this does not prove its
defect of extensibility; it is because the fluid injected irritates
it and makes it contract; the organic contractility in exercise, then
prevents the development of extensibility, as it sometimes cannot be
brought into action by stimulants in a muscle laid bare, because the
animal contractility in exercise in the muscle, forms an obstacle to
it. The muscles of animal life are never capable of this rapidity in
their extensibility, whether because they are intersected by numerous
aponeuroses which dilate but slowly, or whether because their layers
of fibres are very thick, two circumstances that do not exist in the
muscles of organic life. Hence a remarkable phenomenon that I have
observed in all cases of tympanites. When we open the abdomen of
subjects that have died in this state, without wounding the swelled
intestines, these immediately burst out, swell more, and occupy twice
as large a space as they were contained in in the abdomen; why? Because
the parietes of the abdomen being unable to yield in proportion to the
quantity of gas that is developed, this has been compressed in the
intestines during life, and expands immediately by its elasticity when
the cause of compression ceases. In dropsies in which the distension is
slow, the abdominal parietes enlarge much more than in tympanites. The
size of the abdomen would be double in this, if the extensibility of
the parietes was in proportion to that of the intestines.
As to the extent of the extensibility of the organic muscles, we can
form an idea of it by comparing the empty stomach which oftentimes
is not larger than the cæcum in its ordinary state, with the stomach
containing sometimes five, six and even eight pints of fluid; the
bladder contracted and concealed behind the pubis, with the bladder
full of urine from suppression, rising sometimes even above the
umbilicus; the rectum empty, with the rectum filling a part of the
pelvis in old people in whom the excrements have accumulated in it; the
intestines contracted with the intestines greatly distended.
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