On sub-cutaneous pneumatic aspiration, as a method of diagnosis and of treatment / by Georges Dieulafoy.

  • Dieulafoy, Georges, 1839-1911.
Date:
1870
Catalogue details

Licence: Public Domain Mark

Credit: On sub-cutaneous pneumatic aspiration, as a method of diagnosis and of treatment / by Georges Dieulafoy. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    ]S For six years this patient had kept her room, and she woukl spend -whole months in bed. M. Martinean, Mho had recently been consulted^ fonnd general dnlness of the left side, and the heart beatiu'i; in the right axilla. We examined the patient together. The dulness of the left side was complete, and'^^all other symptoms were absolutely wanting. To our surprise, there was complete absence of defor- mity. The most careful measurement showed the left side to be only about a sixth of an inch larger than the right. The oedema of the parietes rendered it impossible to discover whether the spleen was displaced. I performed exploration with the No. 2 needle, then replaced it by the No. 4 trocar, and drew off more than six imperial pints (4,000 grammes) of fluid. After the operation, the heart beat in the space between the right breast and the sternum ; and wo discovered respiratory murmur in the left axilla. Cask 4,—A woman, aged 38, entered the Beaujon Hospital, under M. Axenfeld, for a catarrhal pneumonia. Eight days afterwards a slight friction-sound, and the commencement of broncho-cegophony, were discovered at the back of the left side below the angle of the scapula. On the following day the 03go- phony was more pronounced, the dulness more defined, and there was a slight souffle. An effusion was diagnosed. The symptoms continuing, pneumatic exploration was decided upon. The No. 1 needle was introduced in the seventh intercostal space behind the line of the axilla, and 21 drachms (10 or 12 grammes) of pale yellow liquid rose into the pump. Fearing not to have gone deeply enough into the fluid, the needle was pushed farther; the resistance of lung was felt, and red and