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
If a ligature is tied about an artery, there is a swelling on the side
toward the heart, while in the case of a vein, the swelling is on the
side away from the heart, that is, the swelling is in either case on
the side from which the blood comes. When an artery is cut, however,
the blood comes out rhythmically in spurts, though from a cut vein it
oozes slowly and regularly. For the blood is pumped out by the heart
rhythmically and its rhythmic beating against the walls of the artery
is felt in the _pulse_, which follows slightly after the beat of the
heart itself. The pulse is due to the fact that the vessels into which
the blood is forced are already full. This causes a local dilation at
the beginning of the artery which passes with diminishing force along
its entire length, the distention being due to the fact that more force
is needed to drive the blood through the small arteries and capillaries
than to stretch the elastic walls of the aorta and the large arteries.
It is this elastic character of the arteries that makes the blood flow
constant, for otherwise the blood would come intermittently in jets, as
it is pumped from the heart. The elastic walls of the vessels, however,
offer a certain resistance to the pumping of the fluid through them and
at the same time, by relaxing between whiles, allow a certain amount of
fluid to be retained in them, so that they continue full and the flow
is more or less constant. The insufficient outlet also helps to make
the flow constant.
By the time the blood reaches the veins its rhythmic character has
been done away with, but though there are no elastic walls in the
veins, it still has force enough after the slowing in the capillaries
to return to the heart. In this it is aided to a certain extent by
the valves and by the action of the skeletal muscles as they contract
and expand, especially in the arms and legs, where the blood runs
perpendicularly and there is a high column to be supported. There are
also more veins than arteries, each large artery having two large
veins, the venæ comites, to help get the blood back to the heart, and
the veins anastomose freely. Thus, if the blood cannot get back by one
channel it does by another. In parts like the brain, where it is very
important that there should be no compression, since any disturbance
of circulation would lead to serious results, the vessels are enclosed
in thick walls, and in the liver, through which all the blood passes
and where compression is sure to cause trouble, the veins are simply
caverns carved out in the organ and have no walls. They lie open when
the organ is opened. _Varicose veins_ are the result of valves giving
way through inherited weakness or disease so that others have an unduly
large weight to support.
Public-domain text, read in full here on John Shaqi.
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