The Body at Work: A Treatise on the Principles of PhysiologyHill, Alex
Science
The Body at Work: A Treatise on the Principles of Physiology
Hill, Alex
Physiology
“Apnœa” is the condition of arrested respiration. If a man about to
dive into the water breathe deeply and rapidly half a dozen times, he
abolishes for a while the desire to breathe. One is naturally inclined
to explain this as due to a surplus of oxygen taken into the blood, but
a moment’s reflection shows that this cannot be the cause. In the first
place, as we have already pointed out, the blood which leaves the lungs
in tranquil respiration is very nearly saturated with oxygen. It can
take up but little more. Again, the deep inspirations do not change the
air in the air-chambers; time is required for the renewal by diffusion
of their gaseous contents. It is improbable that the constitution of
the air in the alveoli is sensibly altered by a few deep breaths.
Probably the explanation is to be found in the effect upon the
nerve-centre of distention of the chest. Stretching the nerve-endings
of the vagus in the lungs inhibits inspiration. If the stimulation be
excessive, inspiration is inhibited for a considerable time. That this
is the right theory of apnœa is proved by repeatedly inflating the
lungs of an anæsthetized animal with a pair of bellows. The same arrest
of inspiration is induced whether the lungs are inflated with air or
with a neutral gas, such as nitrogen, so long as the vagus nerve is
intact. If this be cut, inflation with a neutral gas no longer produces
apnœa.
“Dyspnœa” is the term applied to the complex conditions and movements
which result from deficient aeration of the blood, or, rather, from
the distribution of insufficiently aerated blood to the centres in
the medulla oblongata. The blood of the rest of the body may be in a
satisfactory condition, but if, owing to ligature of the carotid and
vertebral arteries or other causes, the blood supplied to the brain be
inadequate to its proper nutrition, the phenomena of dyspnœa are as
marked as they are when air is prevented from entering the lungs. That
the excitability of the nerve-centres in the brain is greatly increased
when this organ is supplied with venous blood, and that their tendency
to transmit impulses which call for respiration is consequently
exaggerated, is remarkably shown by the following experiment: Two
rabbits—A. and B.—are placed under the influence of chloroform. Their
carotid arteries are cut, and a crossed circulation established by
connecting the proximal ends of A.’s arteries with the distal ends of
B.’s, and _vice versa_. The head of each rabbit is now supplied with
blood from the heart of the other, the rest of its body by blood from
its own heart. A.’s chest is now opened, so that its lungs collapse and
cease to take part in respiration. The animal continues to make the
movements of respiration in a tranquil manner, whereas B. is thrown
into violent dyspnœa. The animal whose brain is receiving aerated blood
remains normal, notwithstanding the fact that its lungs and the rest
of its body are poisoned with venous blood. The animal whose brain is
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