Popis: |
I report this case to furnish some idea of the prognosis to be made in cases involving injury to the spine. The literature on prognosis in such injuries is very incomplete. History.— The patient, a colored man, aged 21, single, laborer in a railway camp, was shot July 18, 1909 at close range with a 38-caliber revolver, the ball entering the eighth interspace on the right side one inch to the right of the mammillary line, passing downward and backward and emerging through the eleventh interspace behind in the mid-scapular line 2¾ inches to the left of the spinous process of the eleventh dorsal vertebra. The man was hauled 4 miles in a wagon and 12 on train with no dressing on either wound. Examinations.— The pulse was 130, the temperature 102, respirations 30, paralysis of the left thigh and leg was complete. There was retention of urine and paralysis |