On the pathology of hooping-cough / by Graily Hewitt.

  • Hewitt, Graily, 1828-1893
Date:
1855
Catalogue details

Licence: Public Domain Mark

Credit: On the pathology of hooping-cough / by Graily Hewitt. 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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    cases came under my notice elsewhere. The observations are nineteen in number.* The ages of the children who were the subject of them varied from four years to one month, the average being eighteen months. In all, the state of the lungs was carefully noted. The chief lesion found after death was collapse of the lung substance. The following is a statement of the degree to which this pathological condition manifested itself in the different lobes of the two lungs. In the right lung, portions of the upper lobe were found collapsed in six cases, and in four more to a less degree. The middle lobe was collapsed, wholly or in part, in sixteen cases. The lower lobe was more or less affected with collapse in eighteen cases. In the left lung, the upper lobe presented the same lesion in fifteen cases, the whole of the anterior tongue-like prolongation being in most of the cases affected. The lower lobe was collapsed more or less in eighteen cases. In seven of the cases, the portions collapsed were also congested—in some to a high degree. The test of MM. Bailly and Legendre, viz., the inflatability of the portions of the. lungs thus affected, was used in almost all the cases; and on that and other grounds it was determined, that the particular part of the lung in question was collapsed and not hepatized. It will be at once perceived, that the occurrence of collapse was almost universal; all the cases, with the exception of one, in which there was extensive tuberculiza- tion of the lungs, presenting a greater or less amount of lung substance affected in this manner. * See Table of Cases.
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