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
It would be a loss of time to enumerate the different objections which
have been urged against the validity of this test, on various grounds,
many of which admit of an easy answer. It is sufficient to state that
experiments, subsequent to those of _Plouquet_, by _Haartman_,[81]
_Struve_,[82] _Schmitt_, and _Lecieux_,[83] have shewn that no constant
relation between the weight of the lungs and that of the body, under the
circumstances above mentioned, can be established. The reason of which,
as _Dr. Hutchinson_ has justly observed, without considering the
influence of variation in the original construction of the body, is
sufficiently accounted for, by the great diversity in the manner in
which respiration is established in new-born infants. We have already
stated that, in a great proportion of them, it is but gradually and
slowly effected; and that several days even may elapse before the lungs
are fully dilated. _Dr. Gordon Smith_[84] is disposed to believe that
data might be obtained for a just conclusion upon this point, if
practitioners would institute farther inquiry into the subject; and,
with this impression, he has been induced to enter more fully into the
history of the test, than we deem necessary, believing as we do, that it
can never afford evidence sufficiently decisive for practical
application. _Daniel_ has proposed a modification of _Plouquet’s_ test,
but which is more objectionable even than that which he professes to
improve. The same physiologist considers that an inference may be drawn
from the increased circumference of the thorax, and the vaulted
appearance it assumes after respiration. The objections urged by _Dr.
Hutchinson_ to these latter indications appear to us to be unanswerable;
the circumference of the thorax, says he, varies so much in infants of
the same age and sex, both absolutely and in proportion to other parts
of their body, that it cannot be possible to obtain any decisive
evidence from it. The vaulted appearance of the chest is almost equally
fallacious in the generality of cases, or else it is devoid of utility;
because the figure of the thoracic parietes is not much changed until
respiration has been fully established, and then we have other and more
certain means of detecting its existence. Besides which, it appears from
the experiments of _Schmitt_, that the thoracic parietes were distended
outwards by artificial insufflation after death, as much as they are by
actual respiration as it occurs in the new-born infant. With these
remarks we shall dismiss the subject of _Docimasia Pulmonaris_, and
proceed to inquire whether the structure of the heart is capable of
affording any useful indications. There can be no doubt but that, some
time after birth, we shall find on inspecting the heart, evident marks
of the altered course of the circulation. The _foramen ovale_ will be
closed, and in extending our examination, we shall find that the _ductus
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