Synopsis
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1886 Excerpt: ...and vascularity. The thoracic viscera were congested in 8 of the 16 cases, and in 6 of the 19 cases; the congestion having passed into demonstrable inflammation in 1 of the former, and in 3 of the latter; thus making thoracic congestion in one-half the cases examined. The abdominal organs were somewhat less frequently congested; in 12 of the 16 cases, in 3 only of the 19. The mucous membrane of the pharynx and larnyx is extremely liable to be congested, apparently owing to the inhalation of flame or heated air during the accident; of the 19 cases collected by Mr. Holmes, which died in the first two days, some appearance of this kind was found in 13. The congestion in the pharynx very generally ceases abruptly at the commencement of the oesophagus; in some rare cases passing down into the stomach. (2.) Reaction and Inflammation constitute the next, or second period; extending from the end of the second day to the end of the second week. During this period, 25 out of the 50 cases died; and 29 out of the 75 cases; or 54 out of 125. The brain, lungs, and intestines are the viscera principally affected; laryngeal cases usually die earlier. In the 25 cases, the brain was affected in 14; 11 being simple congestion, and 3 serous effusion. Of the 29 cases, the brain was not examined in the great majority; in 3 it was congested, with effusion into the ventricles or arachnoid; but there was no evidence of true inflammation in any case. The lungs are more frequently affected. In the 25 cases, these organs were congested in 10 cases, and inflamed in 5. Of the 29 cases, inflammation of the lungs or pleura had occurred in 7 (in one of which, however, it probably existed before the accident), and congestion was noted in 5 others. The abdominal viscera--liver, spleen, or ki...
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