Medical Jurisprudence, Volume 3 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 3 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
_Thoracic cavity._ Having accomplished the examination above described,
we may proceed to expose the cavities of the thorax and abdomen, in the
manner already explained, (_vol._ iii, _p._ 52) remembering always that,
by carelessly wounding the thoracic viscera, we shall, in a great
degree, defeat the objects of the dissection; on this account it will be
advisable to make the division of the ribs with scissars, instead of a
scalpel. From the examination of these cavities we shall, in the first
place, derive a confirmation, or refutation, of the opinion respecting
the maturity, or _viabilité_ of the subject, which the external view of
the body had suggested. Previous to the end of the seventh month the
heart will be found exceeding in size its just proportions, and without
much difference of capacity between the auricles and ventricles. The
lungs will appear small, solid, and retracted from the anterior part of
the cavity. In the abdomen we shall find the liver very considerable in
size, and situated near the umbilicus, from which it afterwards
gradually recedes as the fœtus advances. The gall-bladder will be found
to contain a nearly colourless serous fluid, which during the eighth
month gradually becomes yellowish, and acquires a bitter taste. If the
appearances above described be compared with those which are displayed
on the dissection of a full grown fœtus, we shall be able to form a very
just estimate of the value of an anatomical investigation, in
discovering the term of its intra-uterine or fœtal life. But, by the
inspection of the thoracic organs, we endeavour to derive an inference
still more important; the state of the lungs is supposed to be capable
of indicating whether respiration have ever been performed; and,
consequently, whether the child was born alive. It is affirmed that the
lungs of the fœtus are small, not filling the cavities of the chest, or
covering the pericardium; dense; compact; of a deep-red, or chocolate
colour, not unlike that of the liver; carrying but little blood, and
having a specific gravity exceeding that of fresh water, and,
consequently, _sinking_ in that fluid. Upon cutting into them no air
will be emitted, nor will any blood follow the incision. When, however,
respiration has been established, these organs become more voluminous,
present a yielding elastic texture, and assume a florid-red colour;
they, moreover, contain and transmit a larger quantity of blood, and
have a specific gravity less than that of fresh water, and accordingly
_float_ in it. On cutting into the lungs, under these circumstances, the
air contained in their cells will escape, and produce a peculiar
crackling noise, which has been well expressed by the term
_crepitating_; a bloody fluid will at the same time exude.
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