A treatise on the pneumonia of children / by Rilliet et Barthez ; translated from the French by S. Parkman.

  • Rilliet, F. (Frédéric), 1814-1861.
Date:
1839
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on the pneumonia of children / by Rilliet et Barthez ; translated from the French by S. Parkman. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    wiih all the rigour of the numerical method. There are only three cases of simple pneumonia; in the others, it complicated other affections. The disease commenced by febrile agitation, heat, and acceleration of the pulse, followed by cough, dyspnoea, subcrepi- tous rale, bronchial respiration, and flatness on percussion com- mencing at the base of the lung. The constitutional symptoms disappeared after a day or two, and were entirely wanting in the cases supervening on oedema. After death, the hepatisation occupied the two lungs in the great majority of the cases. Ordinarily more marked in the right, than leftside, more frequently presenting the lobar than the lobular form; the morbid tissue was always very hard and smooth upon incision. After attentively reading all these monographs, we see that none except that of M. Leger, presents a complete picture of the pneu- monia of children, while some treat only of the lobular pneumonia and of that variety revealed only by obscure symptoms; others in examining only the disease, when idiopathic, neglect entirely those numerous and important instances where it complicates other diseases. CHAPTER II. PATHOLOGICAL ANATOMY. In the study of the anatomical lesions, authors have not endea- voured to establish the connections between the different species of the pneumonias of children ; on the contrary, they have given us descriptions of each individual species, without attempting their union under one and the same head, as they would seem to require. We think also, they have too much neglected the examination of those alterations of the respiratory apparatus, which complicate pneumonia. To present a complete picture of ihese morbid appearances, we shall describe each kind separately, pointing out as far as possible, its nature, and thus treal, in as many distinct paragraphs, of vesi- cular pneumonia or bronchitis, lobular pneumonia, lobar1 pneu- monia, of the state of carnification, and finish with a few words upon the disease after it has become chronic. We shall then study the alterations of the bronchial tubes, dwelling particularly upon vesicular bronchitis and enlargement of the bronchi. We shall endeavour, in each of these articles, to establish the connections between these divers alterations, and finish this chap- ' The term lobar pneumonia will undoubtedly explain itself as <riven to the disease, invading the whole or part of a lobe, as in the adult. (P.)