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
will effect in those cases where the gaseous distention has arisen from
respiration.
From the view which we have taken of the _hydrostatic_ test, and of the
objections which have been urged against its validity, the practitioner
will be enabled to appreciate its importance. _Plouquet_, desirous of
procuring additional evidence, respecting the existence of respiration,
from the condition of the pulmonary organs, proposed a test founded on
the _absolute_ weight of the lungs compared with that of the body.
Respiration produces two important changes in them—by inflating their
texture it _diminishes_ their _specific gravity_; and by promoting a
determination of blood to their vessels, it increases their _absolute_
weight; upon the former of these changes, the _hydrostatic test_ is
founded, as we have already explained; on the latter, _Professor
Plouquet_ endeavoured to found his “_Nova Docimasia Pulmonaris_,” which
is now very generally known by the name of _Plouquet’s test_, or
_assay_. The blood-vessels, observes this distinguished physiologist,
being collapsed and compressed in the lungs of the fœtus, admit only a
small portion of blood; but after respiration, being dilated, and
extended, and more free in the expanded lungs, they receive a greater
quantity; in consequence of which they become still farther expanded,
and of greater calibre. As this increased capacity of the vessels is
necessarily _permanent_, a greater quantity of blood will remain after
death in the arteries and veins, and more especially in the latter, than
in the lungs of those infants who have never respired, and consequently
the _absolute weight of the lungs must be increased_.
In conformity with these views, _Plouquet_ found on examination, that
the body of a male infant, born dead, and which had not respired,
weighed 53040 grains, the lungs inclusive; and that these latter organs
alone weighed 792 grains; the proportion of the lungs to the body, in
weight, was therefore in this case as 1 to 67. In another infant, under
similar circumstances, he found the proportion as 1 to 70. On examining
an infant, born at the full period, and which had respired, the
proportion was found to be as 2 to 70, so that the weight of the lungs
was absolutely doubled by the act of respiration.
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