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
1. The lungs may sink as a result of disease.
2. Respiration, even in healthy lungs, may be so
imperfect that they may sink.
3. Emphysema pulmonum neonatorum.
4. Putrefaction.
5. Artificial inflation.
1. That in consequence of disease the entire lungs, or portions of
them, may sink, and yet respiration may have taken place. Disease of
the lung may occur previously to birth or soon afterwards, but it is
scarcely probable that the disease would attack every portion of the
lung. Parts, doubtless, small in proportion to the diseased part, may
yet have been sufficiently inflated to float. The presence of disease
is also not difficult of detection.
2. That respiration, even in healthy lungs, may be so imperfect that
they may sink. This objection can scarcely be considered valid against
the general application of the test, for in these cases there is no
known test by which respiration or its absence can be determined. They
are, therefore, out of the pale of the test, as they are out of every
other mode of investigation.
3. _Emphysema pulmonum neonatorum._--Emphysema is generally the result
of excessive dilatation of the air cells of the lung, rupture of the
cell walls, and infiltration of the intra-lobular areola tissue. This
condition may be brought about by:
(_a_) Respiration. (_b_) Inflation.
The fact of the matter is simply this, that the so-called _emphysema
pulmonum neonatorum_, or emphysema of new-born children, is nothing
more or less than incipient putrefaction, induced by certain
unascertained conditions.
Casper sums up his conclusions on this subject in the following words:
“That not one single well-observed and incontestable case of emphysema,
developing itself spontaneously within the lungs of a fœtus born
without artificial assistance, is known; and it is not, therefore,
permissible in forensic practice to ascribe the buoyancy of the lungs
of new-born children, brought forth in secrecy and without artificial
assistance, to this cause.”
4. _Putrefaction._--It must be admitted as proved that the lungs of
new-born children in a state of decomposition will float in water.
But this admission does not render the test valueless, for it must be
remembered:
(_a_) That air generated by putrefaction is found in bubbles
_under_ the pleuræ, or in the fissures between the
_lobuli_ of the lungs, and _not in the air cells_ of
the lungs.
(_b_) That gas as a result of putrefaction can easily be
removed by compressing the lungs, or portions of them.
(_c_) That crepitation in putrefied lungs is absent, owing
to the fact stated under (_a_).
(_d_) That the lungs are among those organs which putrefy
late.
(_e_) That negative evidence may be obtained, if the lungs,
in a highly putrescent body, sink in water. The
tendency of putrefaction, as above stated, is to cause
them to float.
Public-domain text, read in full here on John Shaqi.
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