Medical Jurisprudence, Volume 3 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 3 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
then to be removed close to the bronchiæ; the vessels cut beyond the
ligatures; and the heart and lungs, attached together, removed from the
cavity of the thorax. If bloody, they should be cleansed with a sponge;
and then the colour of the lungs, their consistence and elasticity, and
their state with regard to healthy structure, be distinctly noticed,
without compressing them forcibly, or lacerating in any way their
structure. If the body generally be in a state of putrid decomposition,
it should be ascertained whether the lungs are also thus affected, and
in what degree. A livid colour from congestion of dark coloured blood in
the minute vessels, should not be mistaken for gangrene; an appearance
of this kind seems often to have the same origin as the lividness of the
surface of dead bodies. The lungs are to be turned with the bronchial
trunks downwards, that any fluid which may be contained in these tubes
may flow out; and whatever escapes from them should be preserved in a
clean vessel. These organs are then to be weighed in conjunction with
the heart. A vessel, of a foot or a little more in diameter, and of at
least a foot and a half in depth, is to be filled to the height of not
less than a foot with pure _fresh_, and if possible, _river_ water, the
temperature of which should be nearly equal to that of the air, unless
this be very cold or very hot. The lungs and heart, still attached
together, are to be placed in a gentle manner in this water. It must
then be remarked, whether they float near the surface, or sink to the
bottom; whether they fall suddenly, or descend slowly; whether the lungs
turn uppermost, and float near the surface of the water, or about the
middle of the fluid.
The heart is now to be separated from the lungs, having previously
applied a ligature to the pulmonary vessels, to prevent the escape of
the blood they may contain; and the weight of the heart alone then
determined, that it may be subtracted from that of the heart and lungs
together, as previously ascertained. The lungs are now to be placed
alone in the water, and great attention must be paid to the position
they assume in it; that is, whether they sink rapidly or slowly, or
float near the surface; whether, by reversing their vertical situation
in the water, they sink more readily or with more difficulty; and, if
any part constantly rises and is drawn under water by the rest, this
part should be particularly marked.
The two lobes must be separated, and the above-mentioned experiment made
with each distinctly, and any difference in the results remarked; if one
lobe float, and the other sink, it should be noticed whether it is the
right or left that floats. Each lobe is then to be cut into several
pieces, taking care not to confuse those of the right with those of the
left.”
Public-domain text, read in full here on John Shaqi.
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