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
In =vesicular emphysema= the smallest bronchial tubes and the air cells
have become distended beyond the natural standard and remain permanently
so, the lung tissue having lost its power of contraction. If such a lung
is inflated and dried, and a thin slice taken from the surface of the
emphysematous part the size of the minute orifices on the cut surface
will show its condition. These fine openings are only the air cells cut
across, and in their healthy state they will admit no larger object than
the point of a needle or a fine bristle. They are slightly larger in
adult and especially in old horses than they are in the young. If
affected by emphysema they will often admit a hempseed or even a small
pea. On opening a healthy chest the lung collapses, contracting on
itself and expelling the contained air; if the lung is emphysematous the
diseased portion does not collapse and if the entire lung is affected it
continues to fill the chest and may even bulge outward after it has been
opened. The color of the emphysematous lung is of a brighter red than
are the healthy portions. If a diseased lung has been left exposed to
the air for twenty-four to thirty-six hours and then cut across in all
directions, the diseased lobules may be distinguished at a glance by
this lighter shade, and such light portions if near the surface will be
found to correspond to elevations above the general level of the lung.
If the diseased lung is placed in water it floats on the surface like an
inflated bladder scarcely at all sinking into the fluid. If the lung is
blown full of air the emphysematous part is first filled causing the
bulging on the surface to be still more marked than before. Vesicular
emphysema rarely affects an entire lung; it is usually confined to the
anterior lobes and to the thin lower and posterior borders of the organ.
=Interlobular emphysema= is the extravasation of air into the connection
tissue between the lobules owing to rupture of the air cells, and
smaller bronchial tubes. It may occur independently of the vesicular
emphysema but more frequently, it is preceded by that form and results
from it. It is manifested on the surface of the lung by irregularly
formed transparent elevations movable from one place to another under
the pressure of the finger contrary to what is the case in vesicular
emphysema. These vary from the size of a pea to that of a hen’s egg.
When the air exists in the cellular tissue between the lobules, it
appears as intersecting lines circumscribing irregular spans, and
seemingly dark colored to a superficial glance but seem to be
transparent on a closer examination. Like the elevations on the surface
these collapse on being pricked.
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