Physiological Researches on Life and DeathBichat, Xavier
Science
Physiological Researches on Life and Death
Bichat, Xavier
Death (Biology); Life (Biology)
Besides, if the lungs flattened in the dead body the instant
the thorax was opened, it would be owing to the pressure of the
external air, a pressure which would expel through the trachea what
was contained in these organs. Now if, to prevent the escape of
air, you close hermetically the canal by fixing a tube to it the
stopper of which is tight, and the thorax is afterwards opened, the
lungs still flatten; the air had already gone out of them. Make,
on the contrary, the same experiment on a living animal, you will
always prevent the flattening of these organs, by preventing the
expulsion of the air.
In this point of view Goodwyn has gone on a wrong principle in
measuring in a dead body, the quantity of air remaining in the
lungs after each expiration. Besides, if you open bodies ever
so little, you will hardly find two in which there is the same
arrangement in the lungs. The infinitely various manner in which
life terminates, by accumulating more or less blood in these
organs, by retaining more or less air in them, &c. gives them so
variable a size, that no general data can be established respecting
them. On the other hand, can we hope to be more successful on the
living body? No; for who does not know that digestion, exercise,
rest, the passions, tranquillity of mind, sleep, watchfulness,
temperament, sex, &c. make an infinite variety in the forces of the
lungs, the rapidity with which the blood circulates through them,
and the quantity of air that penetrates them? All the calculations
on the quantity of this fluid which enters or goes out according to
the inspiration or the expiration, appear to me to be physiological
errours, inasmuch as they assimilate the nature of vital forces
with that of physical forces. They are as useless to science as
those which had formerly for their object the muscular force, the
velocity of the blood, &c. Besides, observe if their authors agree
better among themselves then they used to do on this much agitated
point.
[81] It is inconceivable how Bichat could think of confirming his
opinion by the example of hydrothorax. Who does not know that when
an effusion takes place in the cavity of one of the pleuras, that
that portion of the lungs only which is above the level of the
water serves the purposes of respiration; that when the effusion
has arrived to the summit of the cavity, the lungs of that side,
which can no longer dilate, are of no use in respiration; and
those of the other, being compelled alone to make the necessary
modifications in the blood, must be traversed by the greatest part
of this fluid? It is known, finally, that in this case the patient
cannot lie down an instant on the sound side, because this position
prevents the dilatation of the lungs of that side which alone
serve for respiration, and the danger of suffocation is therefore
imminent.
Public-domain text, read in full here on John Shaqi.
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