Physiological Researches on Life and DeathBichat, Xavier
Science
Physiological Researches on Life and Death
Bichat, Xavier
Death (Biology); Life (Biology)
From this manner of regarding the phenomena of asphyxia with
relation to the heart, it is evident that both the ventricles
should be equally affected by it, because their parietes must be
equally injected with venous blood. Nevertheless, it is constantly
observable, that the movement of the red-blooded heart is the
first to stop; that the black-blooded heart in every case the
ultimum moriens; but this phenomenon does not suppose a more
real, a more decided debility in the one, than in the other
heart; for as Haller observes, the fact is common to every kind
of death in the red-blooded animal, and not the case particularly
in asphyxia.--Besides, were the red-blooded heart the first to
be absolutely affected, as the theory of Goodwyn supposes, the
following would be the appearances on opening the asphyxiated
subject.--1st. A distension of the corresponding auricle and
ventricle, by the black blood which they would not be able to expel
into the aorta.--2dly. An equal fulness of the pulmonary veins and
lungs.--3dly. A consequent fulness and swelling of the pulmonary
artery and the black-blooded cavities. In a word, the congestion of
the blood should be the greatest in that of its reservoirs, whose
action is the first to cease.
But this is contrary to observation--for 1st. In the asphyxiated
subject, the red-blooded cavities and pulmonary veins, contain but
a very small quantity of blood in proportion to that which distends
the opposite heart. 2dly. The place where the blood has stopped,
is found to be principally in the lungs, in the lungs must we
begin to follow its accumulation into the venous system. 3dly. The
arteries are as full of blood as their correspondent ventricles,
and consequently it cannot be in the ventricle more than elsewhere,
that death has been begun.
But what is the reason why the black-blooded heart is the last to
beat? because, says Haller, it is the longest excited; because it
contains a greater quantity of blood; because the blood is sent
into it from the largest veins of the system, and regurgitates from
the lungs. The famous experiment is well known by which in emptying
the black-blooded cavities, and tying the aorta so as to retain
the blood within the red-blooded cavities, the contractions of the
latter are prolonged so much beyond the contractions of the former.
But in this experiment it is manifestly the black blood which
accumulates in the aortic auricle and ventricle, because the breast
must be preliminarily opened, and therefore the lungs collapse.
Should a more direct proof be required, immediately before the
experiment, let the trachea be closed with a syringe, and the air
of the lungs be voided; the experiment will just as well succeed;
besides, the operator to be sure of the colour of the blood in the
aortic cavities, has nothing more to do than to open them, as soon
as he has finished his experiment.
Public-domain text, read in full here on John Shaqi.
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