Physiological Researches on Life and DeathBichat, Xavier
Science
Physiological Researches on Life and Death
Bichat, Xavier
Death (Biology); Life (Biology)
[63] A very considerable quantity of air can be forced into the
veins of an animal, without causing its death, provided it be not
pushed in suddenly. In all these cases, it is understood, that the
quantity that can be thus introduced is in proportion to the size
of the animal. I have before me at this moment the details of an
experiment that I made on a horse at Alfort with M. Dupui, and in
which, before the animal died, I was able, in thirty seven minutes,
to inject quickly into the veins forty syringes full of air, and
three syringes full into the carotid artery. (The capacity of the
syringe was seventeen centilitres.) The animal died three minutes
after the last injection. At the examination of the body, we found
air in the azygos vein and in the thoracic duct, which contained
much lymph, as well as the lymphatic vessels of the internal
surface of the lungs. The heart was enormously distended with air
mixed with a small quantity of blood.
[64] This is not correct, and death takes place, on the contrary,
by the cessation of the motions of the heart. The right ventricle
is filled with air; and this air, dilated by heat, so distends it,
that it can no longer contract.
[65] The disorders which are produced in this case do not at all
resemble those which follow the entrance of air into the veins.
If we push towards the brain, by the carotid artery, a small
quantity of air, we see almost immediately signs of a strong
cerebral congestion, spasmodic stiffness of the muscles, loss of
sensibility, and of the action of the senses, and all the phenomena
of a real apoplexy. Respiration and the circulation go on some time
without any apparent alteration, but finally these two functions
become embarrassed and the animal sinks. Every thing leads to the
belief, that the alteration in the circulation of the brain depends
here on the presence of rarefied air in the ultimate arterial
ramifications.
When apoplexy is thus produced by the injection of air, if it
be still forced into the artery, it breaks open violently a
passage for itself, it tears the small vessels, and spreads in
the parenchyma of the brain, which it makes emphysematous and
crepitating under the finger. There finally returns a portion of
it by the veins, which goes to the right cavities of the heart and
which contributes to arrest the circulation.
[66] In the two examinations related by Morgagni, it appears that
after a sudden death, there was found in the vessels of the brain
an aeriform fluid, to the presence of which, for the want of
another material cause, was attributed the death of the individual;
but there is no proof that this fluid might not be developed there
after death. We shall now relate a more decided case of death
occasioned by the presence of air in the blood vessels; but here
there is no ground for doubt, because we know the circumstances of
the introduction.
Public-domain text, read in full here on John Shaqi.
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