In the Indian Medical Gazette there is an account of a private of
thirty- five, who was thrown forward and off his horse while
endeavoring to mount. He fell on a lance which penetrated his
chest and came out through the scapula. The horse ran for about
100 yards, the man hanging on and trying to stop him. After the
extraction of the lance the patient recovered. Longmore gives an
instance of complete transfixion by a lance of the right side of
the chest and lung, the patient recovering. Ruddock mentions
cases of penetrating wounds of both lungs with recovery.
There is a most remarkable instance of recovery after major
thoracic wounds recorded by Brokaw. In a brawl, a shipping clerk
received a thoracic wound extending from the 3d rib to within an
inch of the navel, 13 1/2 inches long, completely severing all
the muscular and cartilaginous structures, including the
cartilages of the ribs from the 4th to the 9th, and wounding the
pleura and lung. In addition there was an abdominal wound 6 1/2
inches long, extending from the navel to about two inches above
Poupart's ligament, causing almost complete intestinal
evisceration. The lung was partially collapsed. The cartilages
were ligated with heavy silk, and the hemorrhage checked by
ligature and by packing gauze in the inter-chondral spaces.
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