C., at 12.30 A.M., on February 5, 1895.
Upon examination by the surgeons, an incised wound was discovered
one inch above the left nipple, 3 1/4 inches to the left of the
median line, the incision being 2 1/4 inches in length and its
direction parallel with the 3d rib. The man's general condition
was fairly good, and the wound was examined. It was impossible to
trace its depth further than the 3d rib, although probing was
resorted to; it was therefore considered a simple wound, and
dressed accordingly. Twelve hours later symptoms of internal
hemorrhage were noticed, and at 8 A.M., February 6th, the man
died after surviving his injury thirty-two hours. A necropsy was
held three hours after death, and an oblique incision 3/4 inch in
length was found through the cartilage-end of the 3d rib. A
similar wound was next found in the pericardium, and upon
examining the heart there was seen a clean, incised wound 1/2
inch in length, directly into the right ventricle, the
endocardial wound being 3/8 inch long. Both the pericardium and
left pleura were distended with fresh blood and large clots.
Church reports a case of gunshot wound of the heart in a man of
sixty-seven who survived three hours. The wound had been made by
a pistol bullet (32 caliber), was situated 1 1/4 inches below the
mammary line, and slightly to the left of the center of the
sternum; through it considerable blood had escaped.
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