CHAPTER VIII.

PHYSIOLOGICAL ANATOMY.

THE ORGANS OF RESPIRATION.

THE ORGANS OF RESPIRATION are the Trachea, or windpipe, the Bronchia,

formed by the subdivision of the trachea, and the Lungs, with their

air-cells. The _Trachea_ is a vertical tube situated between the lungs

below, and a short quadrangular cavity above, called the _larynx_, which

is part of the windpipe, and used for the purpose of modulating the

voice in speaking or singing. In the adult, the trachea, in its

unextended state, is from four and one-half to five inches in length,

about one inch in diameter, and, like the larynx, is more fully

developed in the male than in the female. It is a fibro-cartilaginous

structure, and is composed of flattened rings, or segments of circles.

It permits the free passage of air to and from the lungs.

The _Bronchia_ are two tubes, or branches, one proceeding from the

windpipe to each lung. Upon entering the lungs, they divide and

subdivide until, finally, they terminate in small cells, called the

_bronchial or air-cells,_ which are of a membranous character.

[Illustration: Fig. 43.

An ideal representation of the respiratory organs. _3._ The

larynx. _4._ The trachea. _5, 6._ The bronchia. _9, 9, 9, 9._ Air-cells.

_1, 1, 1, 2, 2, 2._ Outlines of the lungs.]

The _Lungs_ are irregular conical organs rounded at the apex, situated

within the chest, and filling the greater part of it, since the heart is

the only other organ which occupies much space in the thoracic cavity.

The lungs are convex externally, and conform to the cavity of the chest,

while the internal surface is concave for the accommodation of the

heart. The size of the lungs depends upon the capacity of the chest.

Their color varies, being of a pinkish hue in childhood but of a gray,

mottled appearance in the adult. They are termed the _right_ and _left_

lung. Each lung resembles a cone with its base resting upon the

diaphragm, and its apex behind the collar-bone. The right lung is larger

though shorter, than the left, not extending so low, and has three

_lobes_, formed by deep fissures, or longitudinal divisions, while the

left has but two lobes. Each lobe is also made up of numerous _lobules_,

or small lobes, connected by cellular tissue, and these contain great

numbers of cells. The lungs are abundantly supplied with blood-vessels,

lymphatics, and nerves. The density of a lung depends upon the amount of

air which it contains. Thus, experiment has shown that in a _foetus_

which has never breathed, the lungs are compact and will sink in water;

but as soon as they become inflated with air, they spread over a larger

surface, and are therefore more buoyant. Each lung is invested, as far

as its root, with a membrane, called the _pleura_, which is then

continuously extended to the cavity of the chest, thus performing the

double office of lining it, and constituting a partition between the

lungs. The part of the membrane which forms this partition is termed the

_mediastinum_. Inflammation of this membrane is called _pleurisy_. The

lungs are held in position by the root, which is formed by the pulmonary

arteries, veins, nerves, and the bronchial tubes. Respiration is the

function by which the venous blood, conveyed to the lungs by the

pulmonary artery, is converted into arterial blood. This is effected by

the elimination of carbonic acid, which is expired or exhaled from the

lungs, and by the absorption of oxygen from the air which is taken into

the lungs, by the act of inspiration or inhalation. The act of

expiration is performed chiefly by the elevation of the diaphragm and

the descent of the ribs, and inspiration is principally effected by the

descent of the diaphragm and the elevation of the ribs.

[Illustration: Fig. 44.

A representation of the heart and lungs. 4. The

heart. 5. The pulmonary artery. 8. Aorta. 9, 11.

Upper lobes of the lungs. 10, 13. Lower lobes. 12.

Middle lobe of the right lung. 2. Superior vena

cava. 3. Inferior vena cava.]

When the muscles of some portions of the air-passages are relaxed, a

peculiar vibration follows, known as snoring. Coughing and sneezing are

sudden and spasmodic expiratory efforts, and generally involuntary.

Sighing is a prolonged deep inspiration, followed by a rapid, and

generally audible expiration. It is remarkable that laughing and

sobbing, although indicating opposite states of the mind, are produced

in very nearly the same manner. In hiccough, the contraction is more

sudden and spasmodic than in laughing or sobbing. The quantity of oxygen

consumed during sleep is estimated to be considerably less than that

consumed during wakefulness.

[Illustration: Fig. 45.

View of the pulmonary circulation.]

It is difficult to estimate the amount of air taken into the lungs at

each inspiration, as the quantity varies according to the condition,

size, and expansibility of the chest, but in ordinary breathing it is

supposed to be from twenty to thirty cubic inches. The consumption of

oxygen is greater when the temperature is low, and during digestion. All

the respiratory movements, so far as they are independent of the will of

the individual, are controlled by that part of the brain called the

_medulla oblongata_. The respiratory, or breathing process, is not

instituted for the benefit of man alone, for we find it both in the

lower order of animals and in plant life. Nature is very economical in

the arrangement of her plans, since the carbonic acid, which is useless

to man, is indispensable to the existence of plants, and the oxygen,

rejected by them, is appropriated to his use. In the lower order of

animals, the respiratory act is similar to that of the higher types,

though not so complex; for there are no organs of respiration, as the

lungs and gills are called. Thus, the higher the animal type, the more

complex its organism. The effect of air upon the color of the blood is

very noticeable. If a quantity be drawn from the body, thus being

brought into contact with the air, its color gradually changes to a

brighter hue. There is a marked difference between the properties of the

venous and the arterial blood.

The venous blood is carried, as we have previously described, to the

right side of the heart and to the lungs, where it is converted into

arterial blood. It is now of uniform quality, ready to be distributed

throughout the body, and capable of sustaining life and nourishing the

tissues. Man breathes by means of lungs; but who can understand their

wonderful mechanism, so perfect in all its parts? Though every organ is

subservient to another, yet each has its own office to perform. The

minute air-cells are for the aeration of the blood; the larger bronchial

tubes ramify the lungs, and suffuse them with air; the trachea serves as

a passage for the air to and from the lungs, while at its upper

extremity is the larynx, which has been fitly called the organ of the

human voice. At its extremity we find a sort of shield, called the

_epiglottis_, the office of which is supposed to be to prevent the

intrusion of foreign bodies.

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The People's Common Sense Medical Adviser in Plain English or, Medicine Simplified, 54th ed., One Million, Six Hundred and Fifty Thousand · 第 8 / 34 章