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
413. On examining the quantity of blood that passed through the lungs
after death from submersion, it was found to be very nearly the same
as that which was transmitted after death from suspension.
414. But the lungs may be brought to a much greater degree of collapse
than that to which they are reduced in hanging and drowning. By
introducing an exhausting syringe into the trachea, a much larger
quantity of air may be drawn out of the lungs than they are capable
of expelling by the most violent efforts of expiration. When, in this
mode, the lungs had been reduced to the greatest possible degree of
collapse, and had been exhausted of all the air that could be drawn out
of them, there flowed through them two ounces of blood.
415. Such are the results when the lungs are reduced successively
from the moderate degree of collapse incident to a perfectly natural
expiration, to the great degree of collapse incident to suspension
and submersion, and the most extreme degree of collapse which it is
possible to induce by exhaustion.
416. When the phenomena that take place in the opposite condition of
the lungs were investigated, results were obtained which present a
striking contrast to those which have been stated. On forcing into
the lungs the largest quantity of air which they are capable of
containing without the rupture of the air vesicles, and in this manner
communicating to them the greatest degree of dilatation compatible
with their integrity, it was found that in this state there passed
through them _only three drachms of blood_.
417. But on fully distending the lungs with water instead of air, the
pulmonary circulation was instantaneously and completely arrested; they
were incapable of transmitting a single drop of blood. On cutting the
aorta across, as in all the preceding experiments, not a particle of
blood was obtained, excepting what issued at a single jet, and which
consisted only of the blood contained in the vessel at the moment the
respiration was stopped.
418. From these experiments it follows—
1. That the state of inspiration is favorable to the passage of
the blood through the lungs. In the dilatation of inspiration they
transmitted nearly double the quantity that passed in the collapse of
expiration; or, as four ounces and five drachms are to two ounces and
seven drachms (410 and 411).
2. That no degree of collapse to which the lungs can be reduced is
capable of wholly stopping the flow of the blood through them. In the
collapse of suspension and submersion they transmitted as much blood,
with the exception of two drachms, as when death was produced by a blow
on the head (412 and 409). In the greatest degree of collapse capable
of being produced by an exhausting syringe, they transmitted half as
much as in the collapse of suspension and submersion (414 and 412).
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