Treatise on the Anatomy and Physiology of the Mucous Membranes: With Illustrative Pathological Observations — John Shaqi
Treatise on the Anatomy and Physiology of the Mucous Membranes: With Illustrative Pathological ObservationsBichat, Xavier
Science
Treatise on the Anatomy and Physiology of the Mucous Membranes: With Illustrative Pathological Observations
Bichat, Xavier
Membranes (Biology)
45. The mucous membranes receive a great number of vessels: the
remarkable redness which distinguishes them would be sufficient
to prove it to us, if it could not be demonstrated by injections.
This redness is not everywhere uniform; it is less in the bladder,
large intestines, and frontal sinuses; very marked in the stomach,
small intestines, and vagina, &c. It is produced by a web of
very numerous vessels, whose supplying branches, after having
passed through the chorion, finish on its surface by an infinite
division, embracing the corps papillaire, and is covered only by
the epidermis.
46. It is the superficial position of these vessels that frequently
exposes them to hæmorrhages, as we remark principally in the nose,
and as is seen in hæmoptysis, hæmatemæsis, hæmaturia, in certain
dysenteries, where the blood escapes from the parieties of the
intestines, in uterine hæmorrhages, &c.; so that those spontaneous
hæmorrhages, which are independent of any external violence applied
to the open vessels, appear to be special affections of the mucous
membranes; they are seldom observed but in these organs, and they
form at least one of the grand characteristics which distinguishes
them from all the other membranes.
47. It is also the superficial situation of the vascular system of
mucous membranes that renders their visible portions, as on the
lips, the glans, &c.; serviceable in showing us the state of the
circulation. Thus, in various kinds of asphyxia, in submersion,
strangulation, &c., these parts present a remarkable lividity; the
effect of the difficulty that the venous blood finds in passing
through the lungs, and of its reflux towards the surfaces where the
venous system arises from that of the arteries.
48. I have already observed in the fœtus, and newly born infant,
that the vascular system is as apparent in the cutaneous organ
as in the mucous membranes; that the redness is there the same;
it is even in that part more marked in the earlier periods of
conception; but soon after birth all the redness of the skin seems
to concentrate itself upon the mucous membranes, which before,
being inactive, had no need of so considerable a circulation, but
which, becoming all at once the principal seat of the phenomena
of digestion, of the excretion of the bile, of the urine, of the
saliva, &c., demand a larger quantity of blood. The long continued
exposure of mucous membranes to the air frequently occasions them
to lose their characteristic redness, and they then assume the
colour of the skin (as M. Sabattier has well observed in treating
on prolapses of the uterus and vagina). By this circumstance some
have been deceived in believing such instances to be cases of
Hermaphrodism.
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