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Updated: May 1, 2025
"On his back," I said promptly, "head toward the engine." "Very well," he retorted, "and what then? Your heart lies under your fifth intercostal space, and to reach it a right-handed blow would have struck either down or directly in. "But, gentleman, the point of entrance for the stiletto was below the heart, striking up!
The lowest two pairs of false ribs, are not joined even by cartilages, but are quite free in front, and for this reason are called floating ribs. The ribs are not horizontal, but slope downwards from the backbone, so that when raised or depressed by the strong intercostal muscles, the size of the chest is alternately increased or diminished.
But what earthly use has a man for valves in the intercostal veins which carry blood almost horizontally backward to the azygos veins? When recumbent, these valves are an actual obstacle to the free flow of the blood. The inferior thyroid veins which drop their blood into the innominate are obstructed by valves at their junction.
The spaces between the ribs are occupied by the intercostal muscles, while large muscles clothe the entire chest. The diaphragm serves as a movable floor to the chest, which is an air-tight chamber with movable walls and floor. In this chamber are suspended the lungs, the air cells of which communicate with the outside through the bronchial passages, but have no connection with the chest cavity.
Innumerable trains or tribes of motions are associated with these sensitive muscular motions above mentioned; as when a drop of water falling into the wind-pipe disagreeably affects the air-vessels of the lungs, they are excited into violent action; and with these sensitive motions are associated the actions of the pectoral and intercostal muscles, and the diaphragm; till by their united and repeated succussions the drop is returned through the larinx.
On the left side was a small punctured wound of insignificant size. "Very neatly done," the doctor said with appreciation. "Couldn't have done it better myself. Right through the intercostal space: no time even to grunt." "Isn't the heart around there somewhere?" I asked. The medical man turned toward me and smiled austerely.
The shot-wound, though severe, was not necessarily dangerous, and the bullet had not lodged in him. The doctor was relieved to find that the bayonet had not penetrated deeply but had only glanced along a rib, tearing the intercostal muscles and inflicting a long, jagged but superficial wound which bled freely.
"M. de Guiche's wounds are the result of a pistol-bullet that broke his ring-finger and the little finger of the right hand, and afterwards buried itself in the intercostal muscles of the chest." "A bullet! Are you sure Monsieur de Guiche was wounded by a bullet?" exclaimed the king, pretending to look much surprised. "Indeed, I am, sire; so sure, in fact, that here it is."
In this connection he proposes the following operative procedure: Two longitudinal incisions to be made from the lower border of the 3d rib to the upper border of the 7th rib, one running along the inner margin of the sternum, the other about ten mm. inside the nipple-line. These incisions are joined by a horizontal cut made in the fourth intercostal space.
She was a strong woman, too, for it requires a good hand to drive a stiletto to the guard, even though it miss the sternum by a hair's breadth and slip between the ribs, for the muscles here are hard and the intercostal spaces narrow. She was not only a strong woman, but a desperate one also." "That will do," said Arnold. He beckoned me to bend closer.
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