LECTURE XX.

Wounds of the chest most dangerous. Incised wounds require a treatment

essentially distinct from those made by gunshot. Contused wounds.

Auscultation of primary importance; distinctive sounds learned from

it. Symptoms of inflammation. Serous effusion the most important

evil in wounds of the chest. Respiratory murmur; pleuritic effusion.

Symptoms of pneumonia. Pulse. Difficulty of breathing; cough; sputum.

Differences of delirium. Rhoncus crepitans. Effects of inflammation

of the pleura; thickness of pleura in or after chronic inflammation.

Changes in the lung, subsequent on pneumonia, are principally three.

pp. 364-381

Commentaries on the Surgery of the War in Portugal, Spain, France, and the Netherlands from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate. · 第 28 / 129 题