An inaugural dissertation on pulmonary consumptionDelafield, Edward
History
An inaugural dissertation on pulmonary consumption
Delafield, Edward
Tuberculosis
On this subject, I would suggest the following facts. Hæmoptysis
occurring in persons not predisposed to Consumption, except the
quantity of blood lost be so great as to produce it by mere debility,
very frequently may be easily cured without danger of any consequent
disease. Indeed not only in such cases consumption is not induced by
it, but that disease has actually been prevented, by the occurrence of
hæmorrhage from the lungs, relieving that inflammation, which the inert
physician, by withholding the lancet, would have suffered to destroy
his patient. Dr. Rush relates two cases of inflammatory Consumption
attended by a hæmorrhage of a quart of blood from the lungs, in which
the patient recovered; and ascribes their recovery entirely to the
loss of blood. Wounds and other injuries of the lungs frequently heal,
when no predisposition to Phthisis exists, as easily as in other parts
of the body. Of this fact also Dr. Rush affords an example. A British
officer informed him, a few days after the battle of Brandywine, in
September 1777, that the surgeon general of the royal army had assured
him, that out of twenty four soldiers admitted into the hospitals,
during the campaign of 1776, with wounds of their lungs, twenty-three
recovered. These facts prove sufficiently that the constant motion of
the lungs does not prevent the healing process taking place in them as
easily as in other parts of the body.
In most instances, the spitting of blood which is supposed to have
produced the Consumption, has occurred a considerable period before
the Phthisical symptoms appeared. During this interval perhaps the
patient was perfectly well. Can it be supposed, that the inflammation
necessary to form an ulcer, and the process of ulceration itself, could
so long be going on unperceived, without producing any irritation of
the lungs? Is it not more probable, that the Hæmoptysis was recovered
from, and that the same cause which produced it, at length produced the
Consumption?
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