Physiological Researches on Life and DeathBichat, Xavier
Science
Physiological Researches on Life and Death
Bichat, Xavier
Death (Biology); Life (Biology)
It appears to me, that they depend especially upon the state of
the liver, the capillary vessels of which, are the continuations
of all the branches of the vena portæ as the capillaries of the
lungs are those of the great venous system. Thus, when the hepatic
capillaries from any cause whatever are enfeebled, the spleen
must swell and be filled with the blood, which cannot traverse
the liver.[90] In such case, if I may so express myself, there
is an isolated asphyxia of the abdominal vascular apparatus. The
liver being to the spleen, what the lungs are to the black-blooded
cavities in common asphyxia. The resistance is in the former, the
stagnation in the latter. But this matter may be better understood
hereafter. Experiments upon animals killed in different ways, would
throw much light upon it, and these I purpose undertaking. By these
means we may rigorously establish the analogy existing between
the stagnation of the blood in the different branches of the vena
portæ, and that which is observed in the general venous system,
in consequence of various kinds of death. With respect to the
spleen and its system of veins, in ordinary asphyxia, I have never
remarked in it any peculiarity.
FOOTNOTES:
[79] It is not because the vessels of the lungs have become
tortuous that the blood flows through them with difficulty, but
because they are compressed. It was needless for Goodwyn to seek
for reasons to prove, that the flattening of the lungs does not
offer a mechanical obstacle to the course of the blood. If he had
observed with attention the phenomena of respiration, he would have
seen that this contraction, if it does not completely interrupt
the circulation of the blood in the lungs, at least modifies it
in a very remarkable manner. When the lungs contract, not only
the bronchial cells are flattened, but the pulmonary vessels are
compressed, and tend to expel the blood contained in their cavity.
This fluid flows back then on one part towards the right ventricle
by the pulmonary artery, and on the other it accumulates in the
pulmonary veins before entering the left auricle. Hence we see that
the jet by the carotid artery must increase rather than lessen in
the last moments. But if the compression continues, as the capacity
of the ramifications of the pulmonary artery is diminished as
well as that of the veins of the same name, the quantity of blood
which passes through the lungs is less, and the jet by the carotid
necessarily decreases. The experiment related by Bichat is then
entirely opposed to the opinion which he advances.
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