Clinical tuberculosis . Fig. 43.—Showing the movements of .he diaphragm and thoracic and abdominal wallsas well as the change in position of the intrathoracic and intra-abdominal viscera duringrespiration of the thoracic The movements are from the solid lines on extnrationto the broken lines on inspiration. (.Ilassc.) culosis interferes with inspiration and iiulirectly exercises a del-eterious effect upon the flow of blood to and from the influence of respiration upon the circulation may be under-stood bv studving the changes which occur in the thoracic and 298 COMPKKRATORY CH


Clinical tuberculosis . Fig. 43.—Showing the movements of .he diaphragm and thoracic and abdominal wallsas well as the change in position of the intrathoracic and intra-abdominal viscera duringrespiration of the thoracic The movements are from the solid lines on extnrationto the broken lines on inspiration. (.Ilassc.) culosis interferes with inspiration and iiulirectly exercises a del-eterious effect upon the flow of blood to and from the influence of respiration upon the circulation may be under-stood bv studving the changes which occur in the thoracic and 298 COMPKKRATORY CHANGES IN TUBERCULOSIS abdominal cavities during the act of breathing. These can beseen by studying the accompanying figures after Hasse. Fig. 43illustrates normal breathing of the thoracic type. The move-ments of tlie vaiious structures and organs are from the position. Fig. 44.—Illustrating the nioveinents of the diaphragm and thoracic and abdominal wallsas well as the chanj^e in position of the iritrathoracic and intra-abdominal viscera duringrespiration of the abdominal type. The movements are from the solid lines on expirationto the broken lines on inspiration. (Ilasse.) of the solid lines on expiration to that of the Inoken lines oninspiration. The entire chest wall anteriorly and posteriorly iscarried forwaixl, the diaphragm is shortened in its anteroposteriordiameter and the sicrnuiii is raised and pushed forward. Pig. TYPES OF RESPIRATION 290 44 represents the diapliragmatic type of breathing. The M-allsof the chest are not moved to any great degree, but the diaphragmpushes downward and the anterior and lateral walls of the ab-domen are pushed outward. In its downward action the di-


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Keywords: ., bookcentury1900, bookdecade1920, bookpublisherstlou, bookyear1922