The theory of Gosselin
would not explain these cardiac ruptures from external violence
on the thoracic walls, and, therefore, was rejected by some.
Pare, Morgagni, Portal, Hewson Smith, Dupuytren, Laennec, and
others mention this injury. Gosselin reports two cases
terminating in recovery. Ashurst reports having seen three cases,
all of which terminated fatally before the fifth day; he has
collected the histories of 39 cases, of which 12 recovered. Otis
has collected reports of 25 cases of this form of injury from
military practice exclusively. These were generally caused by a
blow on the chest, by a piece of shell, or other like missile.
Among the 25 cases there were 11 recoveries. As Ashhurst very
justly remarks, this injury appears more fatal in civil than in
military life.
Pyle reports a case successfully treated, as follows:--
"Lewis W., ten years old, white, born in Maryland, and living now
in the District of Columbia, was brought in by the Emergency
Hospital ambulance, on the afternoon of November 10th, with a
history of having been run over by a hose-cart of the District
Fire Department. The boy was in a state of extreme shock, having
a weak, almost imperceptible pulse; his respirations were shallow
and rapid, and his temperature subnormal.
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