Hydatid disease of the lungs / by J. Davies Thomas.

  • Thomas, J. Davies (John Davies), 1844-1893.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: Hydatid disease of the lungs / by J. Davies Thomas. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    General Result.— Twenty-five recovered and five died. Age of Patients.— The youngest was a patient of Dr. Dougan Bird, a girl, aged 9, suc- cessful ; the eldest, a patient of my own, a man, aged 45, unsuccessful. Ages of Patients. 1 to 10 years old 11 to 20 „ „ 21 to 30 „ „ 31 to 40 „ „ 41 to 50 ,, „ Age not stated 2 8 10 6 2 2 cases >) if ff ff 30 Sex.— Males 13 1 Females 17 Side of Chest Affected.— Right side . 18 cases Left side • 4 „ Side not mentioned •• 8 „ 30 In four cases the cysts were apparently pleural ; in seventeen appa- rently (in many of them certainly) pulmonary. The rest are doubtful. As regards the diagnosis made before operation; once it was regarded as abscess of chest wall, once as a deep-seated tumour connected with the breast, five times as empyema or pleuritic effusion. Apparently a correct diagnosis was made in the majority of the cases. Condition of the Cyst. In the majority of the cases the parasite had already ruptured into a Bronchial tube. Mode of Operation.— Direct free incision into sac 15 cases Small incision and forcible dilatation with finger and forceps. 13 „ Trochar followed by drainage tube 2 „ 30 Cause of Death in the Fatal Cases.— In Cases 1, 2, and 4, the fatal result was apparently due to imperfect drainage, permitting retention of putrid pus and cysts. In No. 4 fatal case, it was known that a second parasite occupied the