Physiological Researches on Life and DeathBichat, Xavier
Science
Physiological Researches on Life and Death
Bichat, Xavier
Death (Biology); Life (Biology)
According to Goodwyn, the reason why the contractions of the heart
are stopped, when the chemical functions of the lungs have ceased
to be performed, consists in the want of that excitement which the
red blood only can produce upon the red-blooded ventricle. This
ventricle, says he, has not a sufficient stimulus in the black
blood, and death is occasioned because it no longer is capable of
transmitting any thing to the different organs. In this case death
must happen, as it would from ligature of the aorta--precisely in
the same way as when its source is exclusively in the heart. The
other parts die only for want of blood, just as when in a machine,
the principal spring being taken away, the others cease to act,
because they are not put into action.
On the contrary, I am persuaded that there is a general affection
of all the parts, whenever the chemical functions of the lungs
are suspended; I am persuaded that the black blood continues to
be pushed on for some time by the aorta, and that its influx into
the organs is the occasion of their death; that the organs die in
fact, not because they do not receive blood, but because they do
not receive red blood; in a word, that they are penetrated by the
material cause of their death; so much so, that we may asphyxiate
any isolated part at will, by injecting it with venous blood while
all the others shall continue to receive the red blood of the
heart. At present I shall inquire into the phenomena of the contact
of the black blood with the parietes of the ventricle, and refer
the reader to the following chapters, for its effects upon the
other parts.
The movements of the heart may be stopped and made to cease
altogether from the influence of the venous blood in two
ways.--1st. As Goodwyn has said, because the left ventricle is
not excited by it upon its internal surface.--2dly. Because such
fluid, when carried into the substance of the heart by the coronary
vessels, must act upon the muscular fibre of the heart in the
same way as it does upon the other muscles. Now, for my part, I
am assured that the black as well as the red blood, will excite
into contraction the internal surface of the aortic ventricle. The
following observations and experiments will confirm my assertion.
1st. If asphyxia were to be followed by the consequences which
Goodwyn has supposed, it should influence the heart in the first
place; the annihilation of the functions of the brain, as in
syncope, should be only secondary; nevertheless, asphyxiate an
animal, by stopping up the trachea, by placing him in a vacuum, by
opening the chest, or plunging him into carbonic acid gas, and it
will in every instance be observed, that his animal life is the
first to be interrupted, and that the creature externally is dead;
but that within the heart continues for some time afterwards to
act, and the pulse to be felt.
Public-domain text, read in full here on John Shaqi.
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