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 serous surface taken as a whole, compared with the cutaneous
surface, is also evidently superior to it in extent; so that in this
respect, the quantity of albuminous fluids constantly exhaled within,
appears to be much more considerable than that of the fluid which is
incessantly thrown off by insensible transpiration; I say in this
respect, for different circumstances, by increasing the action of the
cutaneous organ, can re-establish the equilibrium in the exhalation
of these two fluids, one of which re-enters by absorption into the
circulation, and the other is wholly excrementitious. I do not know
even if the pulmonary and cutaneous exhalations united are not less
than those which take place upon the serous surfaces.
Every serous membrane represents a sac without an opening, spread upon
the respective organs that it embraces, and which are sometimes very
numerous, as in the case of the peritoneum, sometimes single, as in the
case of the pericardium, covering these organs so that they are not
contained in its cavity, and so that if it was possible to dissect them
from their surface, we should have this cavity whole. This sac has in
this respect the same arrangement as those night caps, which are folded
within themselves; a trifling comparison, but which gives an accurate
idea of this sort of membranes.
From this general arrangement, it is easy to understand that the
serous membranes are never opened to permit the vessels and nerves to
penetrate the respective organs to which they go or from which they
come off, but that they always wind round them and accompany them
to the organ, and thus form for them a sheath which prevents them
from being contained in their cavities; this removes the danger of
infiltration of serum which lubricates them, an infiltration which
would take place through the neighbouring cellular texture, especially
if they were dropsical; if, as in the fibrous membranes, they were
pierced with foramina for the passage of these vessels and nerves.
This arrangement, exclusively remarkable in the membranes of which we
are treating, and in the synovial ones, is evident at the entrance
of the vessels of the lungs, the spleen, the intestines, the stomach,
the testicles, &c. We see it very well in the arachnoides, a membrane
essentially serous, as I have demonstrated elsewhere.
From the general idea that we have given of these membranes, it is
also easy to understand how almost all are composed of two distinct
parts, though continuous, and embracing, the one the internal surface
of the cavity where they are found, the other the organs of this
cavity; thus there is a costal and pulmonary pleura, a cranial and
cerebral arachnoides, one portion of peritoneum spread upon the gastric
organs, and another upon the abdominal parietes, a free portion of the
pericardium, and one adhering to the heart. The same arrangement exists
in the testicles, &c.
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