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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    RBPOET OF TEN CASES OF PLBU-MIC EFFUSION WITH ASPIRATION OF THE (jliEST—FOURTH SE- RIES—WITH A CASE OF INJECTION OF CARBOLIZED IODINE INTO A LUNG CAVITY. ^ ici BY F. PEYRE PORCHER, M. D., ONE OP THE PHYSICIANS TO CITY HOSPITAL, CHARLESTON;-.- - This series extends the record to fifty-four cases. It may be significant that it should fall to the lot of one physician to en- counter so many cases; but if this be only a fatalitj^ it is very curious, for they occurred, for the most part, in an annual ser- vice of only four months, and in onl}^ one division of a hospital of no great capacity. They are published to illustrate a prob- lem, and incite to reflection ; for if it be not a fiitality, and the same proportion fell to all those occupying a like position, as well as to others througiiout the length and breadth of the land, then our estimate of the frequency of such cases must be enormously increased, and they must almost rival the sands of the seashore in multitude. If they do exist in such numbers, but unha])pily are not recognized, and if paracentesis is fre- quently essential to the relief of the dyspnoea, pain and com- pression of the lungs, or is resorted to merely to prolong life, what must be the suft'erings of the people without it? Some lines by a Latin poet are recalled, which, if the above surmises can by any possibility be correct, we suggest as a suitable in- scription to be placed over the portals of hospitals : * * * crudelis, Ubique luctus, ubique pavor, Et 'plurima mortis imago! The hospital cases are for the rhost part derived from the records furnished by the house physicians—Drs. Buchanan, Howe, Hill and Carn—but very much curtailed and condensed in their recital here. Of these. Dr. Carn reported seven. Case I.—-Jno. McCoy, colored, sBt. 26, admitted October 2d, 1887. Paracentesis of the right cavity was made a little an- terior to the anterior fold of the axilla. In this case there was chronic pleuritis with thickening of the lung tissue, fric- tion fremitus, spitting of blood, diarrhoea and emaciation. The right infra-clavicular I'egion was dull and sunken. The collec- tion of fluid was isolated, of limited amount, and collected in pockets, and which was removed on two se2:)arate occasions— after some difficulty in finding the exact location of the fluid.