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That in injuries of the head serious complications frequently appear following a free interval is generally known. I have not been able to find any references to this sequence in injuries of the thorax, and for that reason feel that it is advisable to report five instances that have come under my observation during the past eighteen months.
In all, the injury was a simple blow on the thorax. In two there was a fracture of one rib, and in three no injury to the thoracic cage was demonstrated. In only one was the injury deemed important at the time it occurred, and in this case the patient was kept in bed because of repeated slight hemoptysis. In the two in which a rib was fractured, this was not discovered until after the onset of the late complication.
In three cases, spontaneous pneumothorax with infection of the pleural cavity occurred
HEAD J. INJURIES OF THE THORAX: SERIOUS PLEUROPULMONARY COMPLICATIONS FOLLOWING A FREE INTERVAL. Arch Surg. 1932;25(3):601–604. doi:10.1001/archsurg.1932.01160210170012
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