In four hours
respiration became very frequent, short, and gasping, the
thoracic walls and the abdomen scarcely moving. The man continued
to improve rapidly, the emphysema disappeared on the seventh day,
and eighteen days after the reception of the wound he was
discharged. There was slight hemorrhage from the wound at the
time, but the clot dried and closed the wound, and remained there
until it was removed on the morning of his discharge, leaving a
small, dry, white cicatrix.
Loss of Lung-tissue.--The old Amsterdam authority, Tulpius, has
recorded a case in which a piece of lung of about three fingers'
breadth protruded through a large wound of the lung under the
left nipple. This wound received no medical attention for
forty-eight hours, when the protruding portion of lung was
thought to be dead, and was ligated and cut off; it weighed about
three ounces. In about two weeks the wound healed with the lung
adherent to it and this condition was found six years later at
the necropsy of this individual. Tulpius quoted Celaus and
Hippocrates as authorities for the surgical treatment of this
case. In 1787 Bell gave an account of a case in which a large
portion of the lung protruded and was strangulated by the edges
of the thoracic wound, yet the patient made a good recovery.
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