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.
- Francis Peyre Porcher
- Date:
- [1888]
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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![nation revealed a broncho-pneumonia witti pleuritic effusion on left side. A small quantity of serum was removed with the hypodermic syringe, and she was given quinine in small doses. Four days after operating, as reporetd by the house phy- «ician, Dr. Carn, the portion of lung which had been discov- ■ered to be dull, became perfectly' resonant; the patient recov- ered from febrile symptoms and was discharged some days later in perfect health. This supports the experience of myself and others, that in fair cases the removal of small quantities of fluid is often high- ly beneficial in promoting absorption. Case VII.—-W. M. Bradford, white, fet. 40, admitted Xov. 8th, on a permit of chronic he])atitis. His lower extremities were swollen and there was great dyspnoja, so that he could not sleep in the recumbent posture, but there was no albumen in the urine. A variable murmur was heard in the mitral region, though the pulse was characteristic of aortic regurgitation. Dr. Porclier, after careful examination, decided that there was enlargement of the liver, with pleuritic effusion. Two pints of straw-colored fluid were drawn from the right pleural oavity, which gave great relief, the patient afterwards passing from the care of the house physician who reported the case. Case VIII.—M. Gargat, Frenchman, iet. 49, readmitted May 29th, 1887, had been for many months previously in the hospi- tal, suffering from excessive dyspnoea, with a diagnosis of mitral obstruction and aortic regurgitation. For months he could not lie in bed, but was always propped in a chair, and he presented an extraordinary example of prolonged pain and suffering. Dr. Porcher examined the patient, but the heart sounds were so masked, tumultuous and irregular, with persistent weakness of pulse, but with very little albumen in the urine, that it was impossible to verify the above diagnosis. He decided, howevei*, from the bulging of the intercostal spaces, the extensive dul- ness, eic, that pleuritic effusion also existed. A portion of the irregularity and weakness of the heart murmurs was ascribed to the inhil)itory influence of the extensive effusions, and for the firsi time (July 5th) the operation of paracentesis thoracis, with Fitch's dome trocar, was performed on the left side below the angle of the scapula, and 24 ounces of fluid were removed, with so much benefit that he was discharged He could walk about freely and lie down with comfort. He was re-admitted October 6th, with a bilious attack—the old troubles having also returned; there was loss of appetite, excessive dyspnoea, inability to lie down, great pain over the heart, and swelling of the lower extremities. In this distressing condition, and after exhausting all the usual resoui'ces, it became necessary to resort again to the aspiration. Three pints of fluid were taken from the right cavity, which gave relief for](https://iiif.wellcomecollection.org/image/b22275290_0005.jp2/full/800%2C/0/default.jpg)
