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
Extending up on either side of the upper trachea in the neck are the
two lobes of the _thyroid gland_, the isthmus, which connects the
lobes, covering the trachea below anteriorly. The function of the gland
is obscure, but it has an internal secretion of great importance in
the metabolic processes. Its removal or disease is followed by general
disturbances of mind and body. The injection of thyroid extract has
proved effective as treatment. In _goiter_ the gland becomes enlarged.
The _thymus gland_ lies below the thyroid gland at birth, in front of
and at the sides of the trachea, and runs down behind the sternum. It
is largest at the end of the second year, after which it atrophies,
being almost absent at puberty. It, too, is ductless and its function
is not well understood.
=The Bronchi.=--The two bronchi, of which the right is the larger and
shorter, resemble the trachea in structure. As they enter the root
of the lung they divide, the right into three and the left into two
branches, one for each lobe, after which they divide and subdivide,
the bronchioles becoming smaller and smaller and finally ending in the
_infundibula_, pouch-like places lined with air cells, in which cilia
keep the air in motion. As they grow smaller the bronchioles gradually
become wholly membranous.
[Illustration: FIG. 49.--Relation of lungs to other thoracic organs.
(Ingals.)]
=The Lungs.=--The lungs themselves, two in number, lie each in a serous
sac or _pleura_, similar in structure to the pericardium and serving
a like purpose. The outer layer of the pleura is reflected back over
the thoracic wall and diaphragm. There is no pleural cavity in health
between the two layers of the pleura, the two surfaces being in close
contact, though moistened with lymph to prevent friction during
respiration. In inflammation of the pleuræ or pleurisy, they become
thickened and roughened and friction results, as is shown by the sounds
heard through the stethoscope. Friction causes effusion and fluid
collects. This generally absorbs again, but occasionally the serous
fluid becomes pustular and _empyema_ results.
In front, between the two pleuræ, which are wholly separate, is the
_mediastinal space_ or _mediastinum_, which extends from the sternum
to the spinal column and contains all the thoracic viscera except the
lungs and heart, that is, the trachea, esophagus, thoracic duct, and
many large vessels and nerves.
[Illustration: FIG. 50.--Diagrammatic representation of the termination
of a bronchial tube in a group of infundibula: _B_, Bronchial tube;
_LB_, bronchiole; _A_, atrium; _I_, infundibulum; _C_, alveoli. (de
Nancrede.)]
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