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The 4th, 5th, and 6th ribs and cartilages are divided and the outer cutaneous flaps turned up; pushing aside the pleura with the finger, expose the pericardium and incise it longitudinally; suture the heart-wound by interrupted sutures. Del Vecchio adds that Fischer has collected records of 376 cases of wounds of the heart with a mortality two to three minutes after the injury of 20 per cent.
It seems as if people thought that they only need to keep a few inches of the breast warm that is keeping the chest all right though the sides just under the arms, and the back under the shoulder-blades, are of far greater importance. The throat is even muffled, and a "respirator" worn, so that fresh air is not allowed to get inside the lungs, while the pleura is exposed to chill at the back.
In another, that had presented no sign of disease of the chest, and that for some days before his death vomited the little fodder which he could take, the whole of that portion of the oesophagus that passed through the chest was surrounded with dense false membranes, of a yellowish hue, ranging from light to dark, and being in some parts more than an inch in thickness, and adhering closely to the muscular membrane of the tube, without allowing any trace to be perceived of that portion of the mediastinal pleura on which this unnatural covering was fixed and developed.
In the thorax, for example, if a rib is struck, the charge and possibly fragments of bone, will penetrate the pleura, and be dispersed throughout the lung; in the head, the skull may be shattered and the brain torn up; and in the abdomen, the hollow viscera may be perforated in many places and the solid organs lacerated.
On taking her out, April 12th, to be slaughtered, she capered, stuck up her tail, snuffed, and snorted, showing all the signs of feeling well and vigorous. Autopsy. Right lung firmly adherent to diaphragm and costal pleura, near the spine.
The appearance is that Divine truths in the heavens, which are called spiritual and celestial, are more holy than the Divine truths in the sense of the letter of the Word, which are natural; but the Divine truths in the heavens, which are called spiritual and celestial, are comparatively like the lungs and heart in man, which form the chest only when they are encompassed by ribs, and enclosed in the pleura and diaphragm; for without these integuments, and even unless connected with them by bonds, they could not perform their vital functions.
"The symptoms all increased in intensity; strength diminished; limbs drawn together; belly tucked up, etc.; until the eight day, when she partly lay, and partly fell down, and never rose again. "In a post-mortem examination, the lungs were gorged with black, fetid blood; the substance of them thickened and pulpy. The pleura and diaphragm also showed a good deal of disease and some adhesion.
This the heart does in its abode which is called the breast, where the two are encamped together, separated from the other parts of the body by a partition called the diaphragm and by a covering called the pleura. So it is with love and wisdom or with will and understanding. Love or the will prepares all things in its own human form, that it may act conjointly with wisdom or the understanding.
LESIONS. In acute hog-cholera the inflammation is hemorrhagic in character. Small, red spots and blotches occur in different organs and tissues. In the chronic form of the disease ulceration of the intestinal and gastric mucous membrane, inflammation of the lungs and pleura and sloughing of the skin are common lesions.
If man does not shun and turn away from evils as sins, therefore, the external and at the same time the internal of his thought and will are infected and destroyed, comparatively as the pleura is by the disease in it called pleurisy, of which the body dies. Second: If man were in internals at the same time he would pervert and destroy the whole order and tenor of divine providence.
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