Page:Treatise on poisons in relation to medical jurisprudence, physiology, and the practice of physic (IA treatiseonpoison00chriuoft).pdf/629

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froth issuing from the mouth, occasional vomiting, stertorous respiration, and dilated pupils. Some temporary amendment was procured by blood-letting, but the breathing continued laborious, and he expired about nine hours after the party went to bed, and six hours after the alarm was given. On dissection the vessels of the brain were found much gorged, the blood in the heart and great vessels firmly coagulated, one of the lungs congested, and its bronchial tube blocked up by a kidney bean. The immediate cause of death in this case is therefore doubtful.[1] A similar set of cases happened at Leeds in 1838. An old woman and her grand-daughter were found dead in bed one morning at nine o'clock, ten hours and a half after they had been seen alive and well. The air of the apartment was loaded with coal-gas from a leak in a street-pipe ten feet from the bedroom. One body was cold and stiff when found, and the other became rigid very soon. The attitude and expression were calm, the integuments pale, the cerebral membranes natural, the brain itself turgid, and its ventricles distended, in the case of the girl, with an ounce and a half of serosity, the lungs congested, the alimentary mucous membrane red, and the blood every where fluid, and unusually florid, even in the right side of the heart.[2] Another accident of the same kind, which proved fatal to five individuals, occurred at Strasbourg in 1841. Four were found dead, another survived twenty-four hours after the accident was discovered, and a sixth recovered. It appears from the statement of this person, that the first symptoms were headache and giddiness, then nausea and vomiting, afterwards confusion of ideas, and at length insensibility. General prostration, partial palsy, coma, and convulsions were the leading symptoms after the accident was observed. In the four people found dead the most remarkable appearances were cerebral congestion, redness of the bronchial membrane, accumulation of bloody, frothy mucus in the air tubes, scarlet redness of the lungs, coagulation and darkness of the blood. In the person who was found alive, but did not recover, there was no cerebral congestion, gorging of the air tubes, or redness of the lungs. Professor Tourdes, who reports these cases, ascertained that air containing a fiftieth of coal-gas kills rabbits in twelve or fourteen minutes, and that even a thirtieth proves fatal, though slowly. The gas which caused the accident, and which was prepared from a mixture of water and slate coal, consisted of 22·5 per cent. light carburetted hydrogen, 6·0 bicarburetted hydrogen, 21·9 carbonic oxide, 31 hydrogen, 14 azote, and 4·6 carbonic acid; and by experiment the author found that the most energetic of these gases as a poison is the carbonic oxide, and that the action of the two carburetted-hydrogens is quite feeble.[3] It is somewhat remarkable that no such accident has ever happened in Edinburgh, where nevertheless coal-gas is more used for purposes of illumination in private houses than in any other city. The fine quality of the gas,—for it contains a mere trace of carbonic acid, and

  1. Annales d'Hyg. Publ. et de Méd. Lég. iii. 457.
  2. Mr. Pridgin's Teale in Guy's Hospital Reports, 1839, iv. 106.
  3. Annales d'Hygiène Publique, 1842, xxvii. 232.