A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
The causes of obliteration of the bronchial tubes is not well
understood, yet, they are more frequently observed in persons who have
suffered repeated attacks of bronchitis, or of chronic pneumonia.
=Dilatation of the Bronchial Tubes.= This condition of the bronchial
tubes is more frequent in its occurrence than obliteration. It takes
place in two forms, either several tubes are uniformly dilated, like the
fingers of a glove, or a single tube may form a cavity, by undergoing a
sacular enlargement. Some mechanical obstruction, by interfering with
the free passage of air through the tubes, will usually have caused the
difficulty, as an enlarged bronchial gland, pressing one of the bronchi.
Here the free exit of the respired atmosphere being prevented, an
accumulation of air takes place behind the narrowed point. Any
impediment to the entrance or exit of the air into the lungs will
produce irregular and forcible breathing, and throw a greater strain
upon those parts especially which are in the vicinity of the obstacle.
If, at the same time, the patient suffers an attack of asthma, bronchial
catarrh, or whooping-cough, the violence of the cough materially aids in
developing the dilatation.
The degree of dilatation is greatly variable. Tubes which, in their
natural state, are not larger than a crow-quill, may, especially in the
lower and middle lobes, reach the size of the finger, while at various
points, sacular dilatations may occur, which at first sight may appear
as vomicæ, but which upon more careful inspection, prove to be dilated
portions of the bronchial tubes. The tubes in this state are usually
filled with a puriform fluid, upon the removal of which the lining
membrane is seen to be reddened and softened, or perhaps ulcerated.
This condition of the bronchial tubes may frequently be detected during
life. The voice is hoarse, like a person in croup. The cough is also
hoarse and brazen, while the breathing is difficult, and mucus rattling
is heard in the middle or lower portion of the lung.
The post-mortem appearances in cases of _foreign bodies_ in the
bronchial tubes, may be readily anticipated and easily recognized.
The Mediastinum.
_Inflammation_ may arise in the anterior mediastinum, from fracture or
caries of the sternum; and in the posterior, from injury, inflammation,
caries, or necrosis of the vertebræ. This inflammation may also result
in the formation of an
_Abscess_; or, ulceration and perforation of the œsophagus, or
inflammation of the lymphatic glands may lead to the same results. These
abscesses may reach large size, resulting in displacement of the heart,
and may rupture into the pleural cavity, the trachea or œsophagus.
_Tumors_ of various kinds, may also develop within this space, including
the several forms of _cancerous growths_. The latter will frequently
have their origin in the bronchial or lymphatic glands, or, perhaps, in
the remnant of the thymus gland.
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