The diseases of the chest : including the principal affections of the pleurae, lungs, pericardium, heart, and aorta / by Vincent D. Harris.

  • Harris, Vincent Dormer.
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: The diseases of the chest : including the principal affections of the pleurae, lungs, pericardium, heart, and aorta / by Vincent D. Harris. Source: Wellcome Collection.

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

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    mentioned in the description of the morbid anatomy, viz. a. Abscess. 13. Gangrene of the lung. y. Cheesy infiltration, d. Fibroid phthisis. III. Death, which may arise directly from asphyxia from interference with the oxidation process in the lung, especially when the whole of one lung is affected or parts of both lungs ; or from more or less sudden hyperaemia and collateral cedema. It may also occur, from asthenia, in those debilitated from any cause —old age or alcoholism; from complications ; or from hyperpyrexia. Complications.—The complications which may arise in the course of aciite pneumonia are so nume- rous that, as has been well said by an able writer upon the subject (Jurgensen), a complete state- ment of them all would have to embrace the whole of pathology. The following, however, are the most common: pleurisy with effusion, bronchitis, 'pericarditis, endocarditis and meningitis, rhettmatic fever, and in- flammation of the parotid. This hst is exclusive of abscess a,nd.gangrene of the lung, caseous pneumonia, and fibroid phthisis, which have been already mentioned. Prog-nosis.—Among unfavorable indications may be mentioned the following:—i. Old age or extreme youth, ii. The male sex. iii. Debilitated conditions, especially from alcoholism, iv. Very high tempera- ture, above 106°, or a pulse of over 120, respirations over 50. v. The existence of other diseases or super- vention of complications, vi. The absence of sputum, vii. Delirium, viii. Prune-juice sputum, ix. Typhoid symptoms, x. Severity of the character of the epi- demic. The favorable indications would be the reverse of the above conditions, but in addition it may be men- tioned that proof of the localisation of the pneumonia to the lower lobe, with no tendency to spreading, would be, as a rule, a sign of good omen.