Text book of veterinary medicine, Volume 1 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 1 (of 5)
Law, James
Veterinary medicine
Besides the changes connected with exudation and effusion, and
organization or suppuration in the exuded products, _gangrene_ sometimes
results. A case of this kind is related by _Percivall_.
The _duration_ of pleurisy may thus extend from two days in very acute
cases to several weeks, or even months if we estimate it by the
continuance of _hydrothorax_ in the chronic cases.
_Post Mortem Appearances._ These consist mainly in the presence of false
membranes lining the pleura and hanging in cobweblike shreds into the
cavity of the chest, and of the liquid effusion which fills up the chest
at its most dependent part. The pericardium also contains fluid in many
cases. The periods at which exudation takes place, and when the
principal changes take place in the exuded materials have been well
investigated by Dupuy, Hamont, Delafond and St. Cyr. They induced
pleurisy by injecting irritant liquids into the chest, and noted the
regular sequence of changes.
Dupuy injected two drachms of oxalic acid dissolved in three ounces of
water. Symptoms of pleurisy at once came on, with the friction sound
characteristic of its early stages. Next day friction sound had ceased
and evidence of effusion existed. The same experiment repeated on
several horses showed that if killed at any period subsequently to this,
considerable exudation had already taken place. In one horse in which
the disease was of 50 hours’ standing the chest contained 43 pints of
citrine-colored fluid, and abundance of yellow, thick, false membrane
enveloping the costal and pulmonary pleuræ.
Hamont injected seven ounces of a weak solution of tartaric acid into
the left pleural sac, repeated the injection next morning and destroyed
the horse twenty minutes afterward. The chest opened immediately showed
a small amount of liquid on the affected side, and the pleura injected
and reddened.
Delafond made twenty-two experiments with the same general result.
Percivall found recent adhesions between the lungs and side so early as
seventeen hours after the commencement of the pleurisy.
Andral injected rabbits with acetic acid and in nineteen hours found in
the injected pleura soft, thin, false membranes traversed by red
anastomosing lines, and in certain cases a serous or puriform fluid.
W. Williams found a false membrane formed twenty-four hours after the
injection of the irritant.
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