Report of cases of empyema treated by irrigation : with remarks upon the operation of paracentesis thoracis / by Philip J. Hensley.

  • Hensley, Philip J.
Date:
1887
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Licence: Public Domain Mark

Credit: Report of cases of empyema treated by irrigation : with remarks upon the operation of paracentesis thoracis / by Philip J. Hensley. 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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    [Reprinted from St. Bartholomew’s Hospital Reports, Vol. XVII.] Of tlie following cases, the first, in which the result of the treatment, adopted was more or less disappointing, has a some- what long history. That of the others, where the treatment was successful, is naturally short. J. W. L., a clerk, aged 52, was admitted to Matthew Ward, St. Bartholomew’s Hospital, on March 18, 1880, under my care. He was a spare man, who had usually enjoyed good health, was of temperate habits, and could give no account of any special weakness of constitution among other members of his family. There were the signs of a considerable effusion into the left pleura ; dulness, absence of breathing sounds and of vocal vibra- tions over the base, displacement of the heart to the epigastrium, with some soft friction sounds and an impaired percussion note near the apex in front. The breathing on the right side was of a healthy character, but somewhat exaggerated. There was but little cough and no expectoration ; the pulse was good, the temperature normal, and he complained only of shortness of' breath upon attempting to move about. /rsi CASES OF EMPYEMA TREATED BY IRRIGATION WITH REMARKS UPON THE OPERATION OF PARACENTESIS THORACIS. PHILIP J. HENSLEY, M.D.