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摘要

第七-感觉好多了;牙龈肿痛。续,粉末。l2th。-说他一天比一天强壮。山河。他好多了,他想出院了。在此之前,他的胸部检查过。前面那种先前注意到的麻木感已经消失了,但右下背仍然不如左下背那么响亮;现在可以听到右肺的呼吸杂音了,虽然比左肺微弱,特别是在肺的下半部和后半部;深深的灵感在受伤的座位上产生了一种皱巴巴的声音。两边展开相同。总体健康状况良好。Renzarks。——不是不可能的,在这种情况下发生有laccration和一个或多个血管破裂,导致渗出的血液进入胸膜腔,因而有提到生产plhysical现象被发现受伤的邻居的不可能,积液可能是非常可观的,因为七周多一点是必要的让胸部恢复sonoriety和健康的游戏。幸运的是,似乎并没有出现这种情况。在当时的情况下,炎性并发症是可以合理地预料到的,除了在他入院的那天晚上发生了令人震惊的瘫倒,而且很可能是由于血液流进了胸膜腔,他的康复过程中没有出现任何不良症状。
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Proceedings of Societies
7th.-Feels much better; gums sore. Cont. Pulv. l2th.-Says he is getting stronger every day. l9th.-Is so much improved that he thinks of going out of the hospital. Previous to his so doing his chest was examined. The dulness formerly noticed had disappeared in front, but the right lower back was still less resonant than the left ; the respiratory murmurs were now audible, though more feeble, on the right than oni the left side, especially at the lower and back part of the lungs; a deep inspiration produced a kind of crumpling sound over the seat of the injury. Expansion the same on botlh sides. General health good. Renzarks.-It is not improbable that in this case there occurred a laccration and rupture of one or more vessels, giving rise to an effusion of blood into the cavity of the pleura, and thus producing the plhysical phenomena mentioned as having been detected in the neighbourhood of the injured parti It is not likely that the effusion could have been very considerable, since little more than seven weeks were necessary to allow of the chest recovering its sonoriety and healthy play. Fortunately there appears to have been no in.ammatory complication, as might not unreasonably have been anticipated under the circumstances, and Fwith the exception of the alarming collapse which took place on the night of his admission, and which was in all probability the result of the escape of the blood into the pleural cavitv, the recovery took place without any untoward symptom.
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Provincial Medical & Surgical Journal Proceedings of Societies The British Graduates and the Proposed New Charter of the College of Physicians The Case of Mr. Cox Provincial Medical & Surgical Journal
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