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
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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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    HISTORY. tion: in forty of his patients, only one died. He describes with care the symptoms, and discusses the influence of treatment. In the second part of his memoir, he treats of pneumonia in children from two to six years of age, he demonstrates that in these the disease is never developed in perfect health ; he insists upon the lobular form of the hepatisation and dwells upon the modification of the respiratory sound, and, after a careful description of the ana- tomical lesions, he finishes with a few words upon treatment. His work, fruit of an attentive observation, and based upon an analysis of facts, is without contradiction the most valuable yet published. The author, nevertheless, treating exclusively of pneu- monia when perfectly evident, has neglected its study, when the diagnosis, being more obscure, requires, in consequence, all the at- tention of the practitioner. Having laboured in the same field of observation, we have necessarily arrived at similar results, but we have thought ourselves called upon to modify some of his asser- tions, as well as to supply some of his deficiences. M. Boudin,1 in some researches upon the complications of mea- sles, presented some remarks upon pneumonia. His observations are upon ten children from two to seven years of age, and offer nothing not contained in preceding publications. But we cannot pass in silence a very remarkable omission in this memoir ; the author has neglected entirely to notice the existence of any peculi- arity in the form of the hepatisation, not even mentioning lobular pneumonia. M. Rufz,2. has given, nearly verbatim, the memoir of Mr. Ger- hard, to the composition of which he had assisted, in analysing a part of the cases. M. Berton, in his treatise upon the diseases of children, has add- ed nothing to the ideas already advanced in his inaugural disserta- tion. M. Hourmann,3 in a communication made to the Medical So- ciety of Paris, described succinctly the pneumonia of children from two to four years of age. He states, from six autopsies, that the lobular form is far from being as common, as is usually supposed : he regards bronchial respiration as normal in children, disputes the utility of percussion, and terminates with an observation of reco- very in a child, of two years, treated by repeated venesection, about a pound of blood having been taken. Although we are noticing only works upon children from two to fifteen years of age, we cannot, pass in silence a very interesting memoir, upon the pneumonia of infants, occupying one hundred and fifty pages in the work, just published by M. Valleix.4 This is the result of an analysis of fifteen observations; an analysis made ' Thesis, 1835, p. 91. 8 Journal des Connoissances Medico-Chirurgicales, 1835, p. 101. s Revue Medicale, April, 1835. p. 137. * Clinique des Maladies des Enfans Nouveau-nes, 1838.