Report of ten cases of pleuritic effusion with aspiration of the chest / by F. Peyre Porcher. Fourth series., With a case of injection of carbolized iodine into a lung cavity.

  • Porcher, Francis Peyre, 1824-1895.
Date:
[1888]
Catalogue details

Licence: Public Domain Mark

Credit: Report of ten cases of pleuritic effusion with aspiration of the chest / by F. Peyre Porcher. Fourth series., With a case of injection of carbolized iodine into a lung cavity. 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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    The relief was partial. At the autopsy the right luug was carnified, with adherent pleura?; and death, which was inevit- able, occurred from perforation of the intestines from extensive tubercular disease. Case II.—Geo. Jenkins, colored, fBt. 25, had been in the hos- pital for some months for a lacerated wound of the thigh which bad healed. He did not seem to gain strength, and had what was thought to be hectic fever. Being transferred to the medical wards, it was ascertained that the left cavity of the chest was filled witu fluid. The dyspnoea becoming excessive ; on December 10th, a pint of serum was aspirated with the happiest results, the dyspnoea being relieved. The patient was subsequently transferred. Case III.—L. Clinton, colored, ajt. 65, admitted August 11th, an insane patient employed as a laborer, but admitted to med- ical wards as he suffered from dropsy, commencing in the lower extremities and extending upwards. He was addicted to tak- ing caustic potash slightly diluted, which he persisted in up to the time the swelling appeared, which was ascribed to the effects of the caustic upon the kidneys. Large quantities of serum were drained from the scrotum by repeated puncture with needles. The right chest was aspirated by Dr. Porcher, and about 80 ounces of serum removed. This was repeated September 17th with the withdrawal of 64 ounces. The effects of calomel, squills, jaborandi and supertartrate of potash were tested. Death occurred September 25th. The autopsy revealed the existence of general anasarca, hydrothorax, an enormously hy- pertrophied heart with the aorta dilated, and concretions upon its valves. The kidneys were contracted, tilled with cicatrices and covered with numerous small cj'sts su])posed to be due to the long and continued use of concentrated lye. which, by the report of the house physician, had been kept up for years. Case IV.—Jas. Pleasant, colored, vit. 21, admitted July 19th, with a diagnosis of tuberculosis and pleuritic effusion. Dr. Porcher aspirated a small amount of serum from the right pleural cavity and the patient seemed to improve after taking cod liver oil, etc. He left the hospital without permission, and was lost sight of. Case V.—S. Cash, colored, let. 27, admitted July 8th. Eight pleural cavity filled with serum. A small quantity was removed July 19th by the hj^podermic needle with the view of promot- ing absorption. He was also given iodide of potash. His condition as reported by the house physician (Dr. Carn) was very favorable—when he escaped from the hospital to avoid a return to the prison from which he had been removed. Case VI.—E. Gardner, colored, female, a;t. 19, admitted July 4th, with a diagnosis of continued fever; but a careful exami-