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Updated: June 12, 2025
Both the pericardium and left pleura were distended with fresh blood and large clots. Church reports a case of gunshot wound of the heart in a man of sixty-seven who survived three hours. The postmortem examination showed that the ball had pierced the sternum just above the xiphoid cartilage, and had entered the pericardium to the right and at the lower part.
On opening the body, it appeared that the lungs on the left side, which had been wounded, were entirely wasted away: the pleura firmly adhered to the ribs for some inches round the wound; several of the small stones with which the spear had been armed, were found adhering to the side, and the rib against which the spear had broke, was splintered.
Therefore, although we have occasional rupture of the heart of the dog, oftener perhaps than in the horse, there is no case of rupture of the diaphragm on record. The cavity of the thorax is lined by a membrane, termed pleura, which covers the surface of the lungs. The lungs on either side are enclosed in a separate and perfect bag, anil each lung has a distinct pleura.
Right lung hardened at base; adherent to diaphragm and costal pleura; lump separated on one side only. Cyst beginning to form, outside of separation; pus between cyst and lump, but in a very small quantity.
But if the increase of irritability, and the consequent increase of the stimulus of heat and momentum, produce more violent exertions than those above described; great pain arises in some part of the moving system, as in the membranes of the brain, pleura, or joints; and new motions of the vessels are produced in consequence of this pain, which are called inflammation; or delirium or stupor arises; as explained in Sect.
In a brawl, a shipping clerk received a thoracic wound extending from the 3d rib to within an inch of the navel, 13 1/2 inches long, completely severing all the muscular and cartilaginous structures, including the cartilages of the ribs from the 4th to the 9th, and wounding the pleura and lung.
There was no schirrus in any gland of the abdomen, no adhesion of the lungs to the pleura, nor indeed the least trace of a natural decay in any part whatever." Dr. WILLIAM LEWIS examined Did you, Dr. Lewis, observe that Mr. Blandy had the symptoms which Dr. Addington has mentioned? I did. Did you observe that there were the same appearances on opening his body which Dr. Addington has described?
On the exterior of the sternum was a laceration an inch and a half in length, covered by a spumy fluid, from the centre of which was heard a gurgling noise, showing that a wound had penetrated into the sac of the pleura. The respiration was quick, and evidently painful; the beating of the heart was also strong and precipitate.
Additional Experiments. Experiment 114. To illustrate the arrangement of the lungs and the two pleuræ. Place a large sponge which will represent the lungs in a thin paper bag which just fits it; this will represent the pulmonary layer of the pleura. Place the sponge and paper bag inside a second paper bag, which will represent the parietal layer of the pleura. Join the mouths of the two bags.
In certain situations, notably in tendon sheaths, in the cavities of joints, and in the interior of serous cavities, for example the pleura and peritoneum, the restoration to the normal is not perfect, adhesions forming between the opposing surfaces.
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