The Philosophy of Health; Volume 2 (of 2): or, an exposition of the physical and mental constitution of manSmith, Southwood
Science
The Philosophy of Health; Volume 2 (of 2): or, an exposition of the physical and mental constitution of man
Smith, Southwood
Hygiene; Physiology
812. The pulmonary surface, for reasons which will be readily
understood from what has been already stated relative to the structure
of the air vesicles of the lungs, is by far the most active absorbing
surface of the body. The mode in which the air vesicles are formed and
disposed has been shown to be such as to give to the lungs an almost
incredible extent of membranous surface, while the membrane of which
the cells are composed is exceedingly fine and delicate. Moreover,
there is the freest possible communication between all the branches of
the pulmonary vascular system, whether arteries or veins; the distance
between the lungs and the heart is short; the course of the blood
from the pulmonary capillaries to the central engine that works the
circulation is rapid, and the lungs are at the same time close to the
central masses of the nervous system, with which indeed they are placed
in direct communication by nerves of great magnitude and of most
extensive distribution. These circumstances account for the wonderful
rapidity with which substances are absorbed, when placed in contact
with the pulmonary surface, and for the instantaneousness and intensity
of the impression produced upon the system, when the substance thus
introduced is of a deleterious nature.
813. They also afford an explanation of a phenomenon not to have been
credited without experience of the fact, that innoxious substances,
introduced into the air cells of the lungs in moderate quantities
produce no more inconvenience there than when taken into the stomach.
A single drop of pure water, when in contact near the glottis with the
same membrane that forms the air vesicles of the lungs, excites the
most violent and spasmodic cough, and the smallest particle of a solid
substance permanently remaining there occasions so much irritation
that inevitable suffocation and death result. Yet so different is the
sensibility of this membrane in different parts of its course, that
while at the upper portion of the trachea it will not bear a drop
of water without exciting violent disturbance, in the air vesicles
it tolerates with only slight inconvenience a considerable quantity
even of solid matter. An accident of a nature sufficiently alarming,
which occurred to Dessault, affords a striking illustration of this
curious fact. This celebrated surgeon had to treat a case in which the
trachea and esophagus were cut through. It was necessary to introduce
a tube through the divided esophagus into the stomach, and to sustain
the patient by food introduced in this manner. On one occasion the
tube, instead of being passed through the esophagus to the stomach,
was introduced into the trachea down to the division of the bronchi.
Several injections of soup were actually thrown into the lungs before
the mistake was discovered; yet no fatal, and even no dangerous
consequences ensued. Since that period, in various experiments on
animals, several substances of an innoxious nature have been thrown
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