PULMONARY APOPLEXY. HÆMORRHAGIC INFARCTION.

Different forms. Embolism with infarction. Embolism from arteritis.

Rupture of bloodvessel. Changes in color. Symptoms. Repair.

Hæmorrhage into the lungs may be: 1st. Petechial in infectious diseases.

2d. _interlobular_ as from ruptured vessels. 3d. _Infarction_ or

apoplexy. _Infarction_ results from embolism of a branch of the

pulmonary artery, which may in its turn be due to clots formed in a

diseased heart or in the systemic veins and carried to the lungs in the

blood stream. It may also result from inflammation of the inner coat of

the pulmonary artery. A virtual stasis occurs beyond the embolism, and

the blood filtering in through the anastomosing capillaries fills and

blackens the affected lobule. With rupture of a considerable vessel the

blood escapes _en masse_ and appears like black currant jelly. As it

ages it becomes granular and changes to a yellow color, or it may form a

necrotic mass enclosed in a cyst as in lung plague. The symptoms, apart

from the absence of respiratory murmur and resonance, are not

diagnostic. It may take months to undergo liquefaction and absorption.

Iodide of potassium, bitters and stimulating diuretics may be given.

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