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
The mucous membranes receive a very great number of vessels. The
remarkable redness that distinguishes them would be sufficient to
prove it, if injections did not demonstrate it; this redness is not
everywhere uniform. It is almost nothing in the sinuses of the face, in
the internal ear, of which the membranes are rather whitish, and which
appear so especially, because their extreme delicacy allows the bone
upon which they are applied to be seen very distinctly. In the bladder,
in the great intestines, in the excretories, &c. this colour, though
still very pale, is a little more evident; it becomes very much so in
the stomach, the small intestines, the vagina and in the pituitary and
palatine membranes. In the gall-bladder we cannot distinguish it,
because the bile always covers the mucous surface in the dead body.
This colour depends upon a very extensive vascular net-work, the
branches of which, after having passed through the mucous corion,
and ramifying there, divide and spread ad infinitum on its surface,
embracing the papillary body and covered only by the epidermis.
It is the superficial position of these vessels and consequently
their want of support on one side, that exposes them frequently to
ruptures from considerable shocks, as happens on the surface of the
bronchia from a severe cough, on that of the ear and the nose from a
violent blow on the head. We know that hemorrhage of the mucous system
bordering on the brain, is a common accident from concussions and
wounds of the head. Hence why the least gravel makes the ureters bleed;
why one of the signs of stone in the bladder is the passing of blood;
why a blunt sound carefully introduced is so often withdrawn bloody
from the urethra; why the least effort made with instruments carried
upon polypi, into a fistula lachrymalis or into the nostrils, produces
hemorrhage. I have already observed that we must carefully distinguish
these hemorrhages from those furnished by the exhalants, and which do
not suppose any vascular rupture.
It is also the superficial position of the vessels of the mucous
system, which makes its portions visible, as the red edge of the
lips, the glans penis, &c. often serve to show us the state of the
circulation. Thus in the different species of asphyxia, in submersion,
strangulation, &c. these parts are remarkably livid, an effect of the
passage of the venous blood, which has undergone no change from the
want of respiration, into the extremities of the arterial system.
The long continued exposure of the mucous system to the air, often
makes it lose the redness that characterizes it, and it then
assumes the appearance of the skin, as has been observed by Sabatier
in treating of prolapsus of the womb and vagina, which, from this
circumstance, have sometimes so misled some people, as to make them
believe it a case of hermaphrodism.
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