FREE BOOKS

Author's List




PREV.   NEXT  
|<   39   40   41   42   43   44   45   46   47   48   49   50   51   52   53   54   55   56   57   58   59   60   61   62   63  
64   65   66   67   68   69   70   71   72   73   74   75   76   77   78   79   80   81   82   83   84   85   86   87   88   >>   >|  
iaphragm is more arched before than after respiration, and rises higher in the thorax in the former case than in the latter. The lungs before respiration are situated in the back of the thorax, and do not fill that cavity; they are of a dark, red-brown colour and of the consistence of liver, without mottling. After respiration they expand and occupy the whole thorax, and closely surround the heart and thymus gland. The portions containing air are of a light brick-red colour, and crepitate under the finger. The lungs are mottled from the presence of islands of aerated tissue, surrounded by arteries and veins. The weight of the lungs before respiration is about 550 grains, after an hour's respiration 900 grains; but this test is of little value. The ratio of the weight of the lungs to that of the body (Ploucquet's test), which is also unreliable, is, before respiration, about 1 to 70; after, 1 to 35. Lungs in which respiration has taken place float in water; those in which it has not, sink. There are exceptions to this rule, on which, however, is founded the _hydrostatic test_. As originally performed, this test consisted merely in placing the lungs, with or without the heart, in water, and noticing whether they sank or floated. The test is now modified by squeezing, and by cutting the lungs up into pieces. The objections to the test as originally performed are--(1) That the lungs may sink as the result of disease--_e.g._, double pneumonia. (2) That respiration may have been so limited in extent that the lungs may sink, owing to large portions of lung tissue remaining unexpanded (_atelectasis_). (3) Putrefaction may cause the lungs to float when respiration has not taken place. (4) The lungs may have been inflated artificially. Few of these objections apply, however, when the hydrostatic test, modified by pressure, is employed. To take these objections in detail, it may be stated: (1) If the lungs sink from disease, the question of live birth is answered. (2) This objection is too refined for practical use. The lungs sink, there is an absence of any of the signs of suffocation, and the matter ends. The examiner has only to describe the conditions which he finds, and is not required to indulge in conjectures as to the amount of respiration which may or may not have taken place. (3) Gas due to putrefaction collects under the pleural membrane, and can be expelled by pressure, and is not found in the air cells. The lungs dec
PREV.   NEXT  
|<   39   40   41   42   43   44   45   46   47   48   49   50   51   52   53   54   55   56   57   58   59   60   61   62   63  
64   65   66   67   68   69   70   71   72   73   74   75   76   77   78   79   80   81   82   83   84   85   86   87   88   >>   >|  



Top keywords:

respiration

 

objections

 
thorax
 

hydrostatic

 

disease

 

tissue

 

portions

 
grains
 

colour

 

pressure


modified

 

originally

 

performed

 
weight
 
inflated
 

artificially

 

unexpanded

 
pneumonia
 

limited

 

double


extent
 

Putrefaction

 
atelectasis
 

remaining

 

describe

 

conditions

 

examiner

 

suffocation

 

matter

 
required

indulge

 

putrefaction

 

membrane

 
collects
 

expelled

 
conjectures
 
amount
 

stated

 

pleural

 
question

detail

 
employed
 
answered
 

practical

 

absence

 

refined

 

objection

 
thymus
 
surround
 

closely