Anatomy, Surgical and topographical -- Atlases; Surgery -- Atlases; Surgery, Operative -- Atlases
this space is pulmonary, except the cardiac or median space, which, in
addition to the heart, A, Plate 1, and great bloodvessels, G C B,
contains the oesophagus, bronchi, &c. The ribs are the true enclosures
of thoracic space, and, generally, in mammalian forms, they fail or
degenerate at that region of the trunk which is not pulmonary or
respiratory. In human anatomy, a teleological reason is given for
this--namely, that of the ribs being mechanically subservient to the
function of respiration alone. But the transcendental anatomists
interpret this fact otherwise, and refer it to the operation of a higher
law of formation.
The capacity of the thorax is influenced by the capacity of the abdomen
and its contents. In order to admit of full inspiration and pulmonary
expansion, the abdominal viscera recede in the same ratio as the lungs
dilate. The diaphragm, P P, Plate 1, or transverse musculo-membranous
partition which divides the pulmonary and alimentary cavities, is, by
virtue of its situation, as mechanically subservient to the abdomen as
to the thorax. And under general notice, it will appear that even the
abdominal muscles are as directly related to the respiratory act as
those of the thorax. The connexion between functions is as intimate and
indissoluble as the connexion between organs in the same body. There can
be no more striking proof of the divinity of design than by such
revelations as anatomical science everywhere manifests in facts such as
this--viz., that each organ serves in most cases a double, and in many a
triple purpose, in the animal economy.
The apex of the lung projects into the root of the neck, even to a
higher level, Q, Plate 1, than that occupied by the sternal end of the
clavicle, K. If the point of a sword were pushed through the neck above
the clavicle, at K, Plate 1, it would penetrate the apex of the right
lung, where the subclavian artery, Q, Plate 1, arches over it. In
connexion with this fact, I may mention it as very probable that the
bruit, or continuous murmur which we hear through the stethoscope, in
chlorotic females, is caused by the pulsation of the subclavian artery
against the top of the lung. The stays or girdle which braces the loins
of most women prevents the expansion of the thoracic apparatus,
naturally attained by the descent of the diaphragm; and hence, no doubt,
the lung will distend inordinately above towards the neck. It is an
interesting fact for those anatomists who study the higher
generalizations of their science, that at those very localities--viz.,
the neck and loins, where the lungs by their own natural effort are
prone to extend themselves in forced inspiration--happen the "anomalous"
creations of cervical and lumbar ribs. The subclavian artery is
occasionally complicated by the presence of these costal appendages.
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