Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject — John Shaqi
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the SubjectFiske, Annette
Science
Structure and Functions of the Body: A Hand-Book of Anatomy and Physiology for Nurses and Others Desiring a Practical Knowledge of the Subject
Fiske, Annette
Human anatomy; Physiology
[Illustration: FIG. 8.--Diagram of a lymphatic gland, showing afferent
(_a. l._) and efferent (_e. l._) lymphatic vessels; cortical substance
(_C_); medullary substance (_M_); fibrous coat (_c_); sending trabeculæ
(_tr_) into the substance of the gland, where they branch, and in the
medullary part form a reticulum; the trabeculæ are surrounded by the
lymph path or sinus (_l. s._), which separates them from the adenoid
tissue (_l. h._). (Sharpey.)]
The _lymphatic vessels_ have delicate, transparent walls, with three
coats like the arteries, though much thinner, and anastomose even
more freely than the veins. They have a beaded appearance due to
the presence of numerous valves, which form constrictions on their
surface. The right lymphatic duct, which is only about an inch long,
drains all the lymphatics of the right half of the upper part of the
trunk, the head, and the neck approximately, while the thoracic duct
drains those of the rest of the body. The latter, which is the largest
vessel of the system, begins opposite the second lumbar vertebra
with a bulb-like reservoir for the lymph or chyle, the receptaculum
chyli, and extends up along the spinal column for a distance of
about eighteen inches to the seventh cervical vertebra, where, with
the right lymphatic duct, it empties into the left subclavian vein
at its junction with the internal jugular, thus establishing direct
communication between the lymph spaces and the venous system. The
orifices of both vessels are guarded by semilunar valves to prevent
regurgitation of the blood.
[Illustration: FIG. 9.--Central (superficial) lymphatic glands of the
axilla. (After Leaf.)]
The _lymphatic glands_ are small oval glandular bodies and occur here
and there along the course of the lymphatics. Before entering one of
them the vessel breaks up into several afferent vessels which form
a plexus within and then emerge again as several efferent vessels
which soon unite to form one trunk. These glands occur chiefly in the
mesentery, along the great vessels, and in the mediastinum, axilla,
neck, elbow, groin, and popliteal space.
The _lymph_ varies in character with the locality, being a little
thicker and more opalescent in the lacteals, as the lymphatics of the
small intestine are called, especially during digestion, when fat is
present. Here it is called chyle. Otherwise it is generally a clear,
transparent and slightly opalescent fluid, which, owing to the presence
of fibrin, clots when drawn from the body and allowed to stand. In
fact, it resembles blood plasma very closely in composition and, as it
also contains a certain number of corpuscles or leucocytes that just
correspond to the white corpuscles of the blood, it is practically
blood without the red corpuscles. These leucocytes have considerable
power of amœboid movement and are thought by some to play an important
part in the absorption of food.
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