Text-book of forensic medicine and toxicologyBuchanan, R. J. M. (Robert James McLean)
Science
Text-book of forensic medicine and toxicology
Buchanan, R. J. M. (Robert James McLean)
Medical jurisprudence; Poisons
After respiration they fill the thorax more or less completely, the
amount of distension depending, of course, upon the completeness of the
respiratory acts on the part of the child.
(_b_) _Consistence._--Before respiration has taken place, the lungs
feel firm, compact, and resistant, and are of the consistency of liver.
After respiration they are spongy, crepitant, and yielding when pressed
between the fingers. They also present a marbled appearance. These
signs of respiration are more or less modified by disease, and the
_atelectasis pulmonum_ of Jörg, jun.
Casper denies the existence of _atelectasis pulmonum_ as a distinct
disease of newly-born children, and considers that “it is nothing
else than the original fœtal condition, from which it differs in no
anatomical respect”--an opinion supported by Meigs, who says “it, in
fact, resembles exactly the fœtal lung.” It is simply the result of the
child dying from some cause before respiration has had time to become
fully established, and has possibly been confounded with hepatisation.
It must also be remembered that cases are on record of infants having
lived for some hours, and then died, yet the lungs sank as a whole, and
when cut in pieces.
(_c_) _Colour._--The colour of the fœtal lungs is “exceedingly
various,” and it is by no means easy to convey the idea of colour by
words. Speaking in general terms, the lungs of children who have _not_
breathed are of a reddish-brown liver colour, this colour changing
to a brighter red at their margins. In children who _have_ breathed,
the lungs are of a slaty-blue colour, more or less mottled with
circumscribed red patches. This circumscribed mottling is _never_ found
in perfectly fœtal lungs. When the lungs are inflated artificially,
they swell up and present a uniform cinnabar-red colour, destitute of
insular marbling. The insular marbling of the lungs is characteristic
of lungs that have breathed, and is due to the presence of blood in the
arteries and veins surrounding the inflated lung tissue.
(_d_) _Buoyancy in Water._--Lungs which have respired float in water.
But the objection may be raised that lungs that have _not_ respired may
yet float from--
1. The result of artificial respiration.
2. The result of putrefaction.
The value of these objections will be discussed in the following pages.
The following table is given by Tidy:
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