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July 12, 1913

Current Comment

JAMA. 1913;61(2):126-127. doi:10.1001/jama.1913.04350020052022

ABSORPTION FROM THE PLEURAL CAVITY  The mechanism of absorption from the pleural cavity is a matter of considerable moment in relation to pathologic accumulations of fluid which may occur there and particularly with reference to the management of the situation after certain operative procedures in the thorax. Whether and how drainage shall be instituted depends, for example, in part on the way in which the absorption from the cavity is ordinarily accomplished. Both blood- and lymph-channels are available to carry off accumulated fluids; and in so far as the blood-system is concerned there are vessels in the limiting walls of the cavity as well as in the lungs itself which may contribute to the work of absorption and transport. In the case of both the pleural and peritoneal spaces it is now generally admitted that the blood-vessels may play quite as active a rôle as do the lymphatics, and that