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Article
January 1923

BILATERAL CHRONIC OPEN PNEUMOTHORAX CURED BY NEGATIVE TENSION: REPORT OF CASE

Author Affiliations

Surgeon to the Montreal General Hospital MONTREAL, CANADA

Arch Surg. 1923;6(1_PART_I):168-171. doi:10.1001/archsurg.1923.01110160180010
Abstract

The use of negative tension in cases of subacute and chronic empyema, in which pronounced thickening of the visceral pleura is absent, has a very definite field of usefulness, as is illustrated by the case here described.

REPORT OF CASE  History.—A man, aged 21, a resident of Troy, Vermont, was admitted to the Montreal General Hospital, May 18, 1920, with the history, given by his physician, Dr. Adams, that the patient had developed influenza, complicated by pneumonia, Jan. 29, 1920. February 25, at the patient's home, an intercostal thoracotomy was performed for the drainage of a right-sided empyema. Later he was removed to a hospital in Massachusetts, and, March 23, a left-sided empyema was relieved by intercostal drainage. Both wounds continued to discharge foul-smelling pus. The temperature ranged between 99 and 101 F., with occasional exacerbations, accompanied by chills. The patient lost ground steadily. There was progressive emaciation and

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