Page:Treatise on poisons in relation to medical jurisprudence, physiology, and the practice of physic (IA treatiseonpoison00chriuoft).pdf/619

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access of respirable air to the lungs; others are positively poisonous. The first point, therefore, is to ascertain which are negatively, and which positively hurtful.

M. Nysten, who has made the most connected train of experiments on this subject, conceived that a gas will not act through any other channel besides the lungs, if it exerts merely a negative action:—and that, on the contrary, it certainly possesses a direct and positive power, if it has nearly the same effects, in whatever way it is introduced into the body.[1] He therefore thought the best way to ascertain the action of the gases would be, to inject them into the blood,—conceiving that, after allowance is made for the mere mechanical effects of an aëriform body, the phenomena would point out the true operation of each.

His first object then was to learn what phenomena are caused by the mechanical action of atmospheric air. He found that four cubic inches and a half, injected into the jugular vein of a dog, killed it immediately amidst tetanic convulsions, by distending the heart with frothy blood;—that a larger quantity introduced, gradually caused more lingering death, with symptoms of oppressed breathing, which arose from gorging of the lungs with frothy blood;—and that a small quantity, injected into the carotid artery towards the brain, occasioned speedy death by apoplexy, which arose from the brain being deprived by means of the air of a due supply of its proper stimulus, the blood. Numerous experimental inquiries have been since made on this subject, the latest of which, those of Dr. Cormack, coincide with the first results of Nysten, that air injected into the veins causes death by arrestment of the action of the heart.[2]

Proceeding with these data, Nysten found that oxygen and azote had the same effect when apart, as when united in the form of atmospheric air; that carburetted hydrogen, hydrogen, carbonic oxide, and phosphuretted hydrogen likewise seemed to act in the same way; and that the nitrous oxide, or intoxicating gas, although it does not cause so much mechanical injury as the others, on account of its superior solubility in the blood, has the same effect when injected in sufficient quantity, and produces little or none of the symptoms of intoxication excited by it in man.[3] As to carbonic acid gas, he found that, on account of its great solubility in the blood, it is difficult to produce mechanical injury with it; that sixty-four cubic inches are absorbed, and do not excite any particular symptoms; but that when injected into the carotid artery, it occasions death by apoplexy, although it is rapidly absorbed by the blood.[4]

The other gases he tried were hydrosulphuric acid, nitric oxide, ammonia and chlorine; and all of these proved to be positively and highly deleterious.

Two or three cubic inches of hydrosulphuric acid gas caused tetanus

  1. Nysten, Recherches Chimico-Physiologiques, p. 11.
  2. On the Presence of Air in the Organs of Circulation. Prize Thesis at Edinburgh, 1837.
  3. Nysten, Recherches Chimico-Physiologiques, passim.
  4. Ibidem, p. 81.