A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
The case of an officer of the 19th Regiment, who was shot at the
assault of the Great Redan, and under the care of the writer, will
serve to illustrate some of the points before named. In this instance,
a rifle–ball passed through the upper part of the left scapula near
its superior posterior angle, comminuting the bone and entering the
chest. The ball, together with a piece of cloth, was excised in
front, two inches above and internal to the fold of the axilla. The
mouth was filled with blood immediately after the injury; bloody
expectoration continued for three days; there was hacking cough on
increased inspiration; the respiratory murmur was accompanied with
slight crepitating _ráles_ in the upper part of the lung; there was
weakness, but not much shock. The small degree of the latter symptom,
and the absence of evidence of effusion of blood into the pleural
cavity, led at the time to a suspicion that the ball had glanced round
the costal pleura and had only contused the lung; but the fact of the
absence of vessels of large size at this part of the lung, especially
if there were pleural adhesions, may have been the cause of these
results. This officer had been much weakened in frame by scorbutic
diarrhœa in the winter of 1854–55, and though the cure was protracted
by occasional attacks of diarrhoea subsequently to the injury, by
profuse discharge from the wounds, and separation from time to time
of spiculæ of bone, he left for England two months afterward with his
recovery nearly completed, and no inconvenience has been experienced in
the discharge of his duties since. No venesection was practiced in this
case; but tonics, nourishing diet, and port wine were given as soon as
suppurative action had been established.
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