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
=Circulation.=--The blood, after it has given off its oxygen and
collected carbon dioxide, returns to the heart through two main
channels, the _superior_ and _inferior venæ cavæ_, the former bringing
the blood from the upper part of the body, including the head, neck,
and arms, and the latter from the lower part below the diaphragm. The
two vessels empty along with the _coronary sinus_, which is guarded
by the _coronary valve_, into the right auricle. At the same time
that they empty into this auricle the four _pulmonary veins_, the
only veins that carry arterial or oxygenated blood, are emptying the
fresh blood from the lungs into the left auricle. When both auricles
are full, they contract and send the blood into the ventricles, the
_auricular systole_. As the blood comes through into the ventricles it
probably comes around by the walls and closes the auriculo-ventricular
valves, though just how the valves close is not certain. When the two
ventricles are full they in turn contract, the _ventricular systole_,
and the blood is forced out, that in the right ventricle passing to the
lungs for its new supply of oxygen through the _pulmonary artery_, the
only artery to carry venous blood, and that from the left ventricle
entering the aorta for general distribution through the body. Following
the systole is a pause, the _diastole_, while the heart fills again.
[Illustration: FIG. 43.--The fetal circulation.]
_Circulation in Fetus._--In the fetus there is direct communication
between the two auricles through the _foramen ovale_, which normally
closes at birth, though occasionally it remains open. There is also
communication between the pulmonary artery and the arch of the aorta
through the _ductus arteriosus_. The freshly oxidized blood comes
to the fetus through the placenta, from which it is brought along
the umbilical cord in the umbilical vein to the liver and thence to
the inferior vena cava, where it mixes with the blood from the lower
extremities. By the inferior vena cava it is carried to the right
auricle, where the _Eustachian valve_--a valve between the inferior
vena cava and the auriculo-ventricular opening, larger in the fetus
than in later life where it serves no special purpose--guides it across
the auricle and through the foramen ovale to the left auricle. From
this auricle, together with a small amount of blood from the lungs,
it goes to the left ventricle and is distributed by the aorta almost
entirely to the head and upper extremities. Hence their large size and
perfect development at birth. Returned from the upper extremities by
the superior vena cava, the blood enters the right auricle again and,
passing over the Eustachian valve this time, descends to the right
ventricle, from which the greater part passes by the pulmonary artery
and the ductus arteriosus to the descending aorta, though a small
amount keeps on through the pulmonary artery to the lungs. In the aorta
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