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in almost every respect. The office of the broncho-respiratory
is to convey air into the true respiratory system, while the
true respiratory system is where the great function order phenergan phenergan syrup of vitaliz-
ing the blood is perfected. The bronchial system is charac-
terized by cartilage in its fibrous sheath. In the upper part,
where it is necessary to prevent collapse of the tubes, the car-
tilage is in nearly perfect rings, but as the tubes pass into the
lung-structure, where they are occupied by the residual air,
the cartilage gradually loses the character of rings, and ap-
pears merely as deposits occurring at irregular intervals, down
so far as the bronchial arteries extend, to where the bronchial
veins commence to carry back the purchase phenergan blood that -has passed
through the capillaries of the bronchial mucous membrane.
The mucous membrane also, of the broncho-respii*atory sys-
tem, is different from that of the true respiratory system, in
this, that it is ciliated epithelial mucous membrane, while the
other is of tesselated basement epithelium. The circulation
also is entirely different. The convective system is supplied
by the bronchial arteries ; the pulmonary substance by the
pulmonary artery, and by the nutrient arteries of the lungs,
which are the connecting link between the two systems. The
nutritive arteries arise from the bronchial arteries, but have
no accompanying veins. Thus, blood, after perfonning the
proper office of nutrition in the pulmonary tissue, is at once
reaerated, and passes into the venous radicles of the pulmonary
vein prepared for systemic circulation.
The bronchial arteries have been called the nutritive ar-
teries by anatomists, but they have not dwelt upon the fact
that the venae comites do not phenergan vc attend these arteries into the
pulmonary structure, and that, consequently, this gives them
a peculiar character. The bronchial veins return all the blood
494 EESPIEATOEY MURMUES.
of the bronchial arteries ; the nutritive arteries have no veins.
Their blood is reaerated where they do their work, and it finds
its way into the venous radicles -of the pulmonary vein as ar- phenergan and codeine
terial blood. This anomaly in the circulation is of great
interest in explaining physiological causes and pathological
effects. In pneumonia, it is the nutrient artery, accompanied
with its plexes of ganglia of the organic nerve, lymphatics,
etc., that preserves the life of the part, and governs the whole
process of resolution. We can all remember the anxiety of
practitioners, in the phenergan dm past, to prevent abscess and gangrene of
the lung after inflammation. But time, and a more careful
study of the natural history of the disease, have proved to us
that gangrene and abscess are rare accidents, even when no
treatment at all is had. This peculiar arrangement of the
nutrient artery gives us an early knowledge, in many cases, of phenergan buy
commencing phthisis. 25 mg phenergan Occupation of the air-sacs by tubercle
interferes with the circulation, and blood is thrown back upon
the bronchial artery, and phenergan codeine syrup the result is bronchorrhagia, a con-
servative act ; for, like the application of leeches, it sets the
absorbents' actively at work to phenergan mg remove the cause — the new
tubercle. And, in this way, cases of early phthisis are self-
cured, or, at all events, ameliorated, and the physician is
guided in his treatment.
This singular fact in the circulation was discovered by the
late Dr. Cammann, in making his experiments phenergan with codeine to prove the
non-anastomosis of the arteries of the lung. Using a colored
fluid suitable for fine injections, he found that, when he in- phenergan 25
jected the pulmonary artery, the fluid returned easily by the
pulmonary vein ; but, injecting the pulmonary vein, the fluid
not only passed into the pulmonary artery, but, if the injection
was carefully continued, it would also find its way into the
bronchial arteries. Then, again injecting the bronchial ar-
teries, he found that the fluid after a little time passed into
the pulmonary vein ; this proved that there was communica-
tion between the bronchial arteries and the pulmonary vein,
but not with the pulmonary artery. This was shortly after
1840, and before, I believe, any experiments had been made in
Europe, in regard to this circulation. Since then, several
observers have come to nearly the same conclusion. Drs.
I
EESPIEATOEY MUEMUES. 495
Williams and Aclriani believe "tlie vessels of the bron-
chial mucous membrane terminate in the pulmonary veins,
and those of the deeper plexus in the bronchial veins." Dr.
Waters saj'S, after explaining his experiments, which were
very full and minute : " That a distinct and free communica-
tion exists between the bronchial vessels and the pulmonary
veins, admits of ocular proof. I have seen, with the aid of
the dissecting microscope, the small vessels passing from the
outer surface of the bronchial tubes, and forming a small
trunk, which terminated in a pulmonary vein." Dr. Waters
also says : " It may be said that such a view militates against
the phenergan codeine generally-received opinion of the purity of the phenergan dm syrup blood re-
turned to the left side of the heart, for, if the bronchial blood
is 2)oured into cheap phenergan the pulmonary veins, it is returned to the left
am*icle without undergoing the process of aeration. I would
answer phenergan use that the view I have taken is supported by anatomical
facts, a basis on which all physiological theories should phenergan cream be
founded." I remember that Dr. Cammann, also, could not
reconcile the incongruity of the apparent fact that venous
blood passed directly into the aerated blood of the pulmonary
vein, and then to the left heart. Both of these gentlemen
overlooked the truth that phenergan iv the blood from the nutrient artery
passes through capillaries in the true respiratory system on its
way to the radicles of the pulmonary vein, and, of course, is
reaerated. Dr. Robert Lee, if phenergan online my memory serves me (for I
have not the paper at hand), says that the extension of the
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