Medical Jurisprudence, Volume 2 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 2 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
those of the systole of the heart.
It was long supposed that the cessation of respiration occasioned that
of the heart’s motion, in consequence of the black blood not having
sufficient power to stimulate its fibres; but does not the right side of
the heart, which, under all circumstances, contains de-oxygenated blood,
contract with a vigour equal to that of the left? It was reserved for
_Bichat_ to offer a true explanation of this phenomenon; he has very
justly stated that, in consequence of the suspension of the respiratory
function, the coronary vessels, by which the muscular structure of the
heart is supplied, are compelled to carry black, instead of scarlet
blood; a fact which in itself is quite adequate to explain the cause of
the heart ceasing to contract; for the irritability of this, like that
of every other muscle, can be alone maintained by duly oxygenized blood.
But it remains to be shewn how the functions of the brain and nervous
system stand related to those of the heart and lungs. Although the
agency of nervous influence is necessarily involved in impenetrable
obscurity, yet we shall not have much difficulty in proving, that _the
brain_[18] _is immediately necessary to life only because the muscles of
respiration owe their action to its influence_. _M. Lallemand_ has
published the history of a fœtus, in which the brain and spinal marrow
were equally deficient, notwithstanding which, it even exceeded the
usual size, the heart was perfect, and it was evident that the
circulation had been properly performed; no sooner, however, was the
monster born than it perished, because the diaphragm and other muscles
of respiration were unable to perform their functions without the aid of
nervous excitement; no air was therefore inhaled into the lungs, and in
a few minutes the heart ceased to contract from the deficient supply of
oxygenized blood. If the phrenic nerves of a quadruped be divided,[19]
the motion of the diaphragm ceases, and the animal breathes by the
motion of the ribs alone, panting and respiring with difficulty and
distress. If the spinal marrow be divided below the origin of the
phrenic nerves in the lower part of the neck, no interruption is given
to the transmission of the nervous influence to the diaphragm, but the
ribs now become motionless, and respiration is performed by the
diaphragm only; if the spinal marrow be divided in the upper part of the
neck, above the origin of the phrenic nerves, the nervous influence is
neither transmitted to the diaphragm, nor to the muscles which produce
the motion of the ribs, and respiration is entirely suspended; under
these circumstances the heart continues to contract for some minutes,
after which it ceases, as there is no supply of blood which has received
the influence of the air, and, consequently, the muscular fibres of the
heart lose their excitability, and the blood is no longer circulated;
if, however, the lungs be artificially inflated, before the action of
Public-domain text, read in full here on John Shaqi.
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