Lively Mathew W
Department of Internal Medicine, West Virginia University, 1 Medical Center Drive, Morgantown, WV 26506, USA.
Mil Med. 2012 Mar;177(3):315-7. doi: 10.7205/milmed-d-11-00272.
Confederate Lieutenant General Thomas J. "Stonewall" Jackson was wounded by his own men at the Battle of Chancellorsville during the American Civil War. While being removed from the field, Jackson fell from the litter and struck the right side of his chest on a large stone or stump. Four days following the amputation of his left arm, Jackson developed pneumonia in his right lung. His treating physicians believed the infection developed secondary to a pulmonary contusion that occurred when he fell from the litter. Pulmonary contusions are an independent risk factor in the development of post-traumatic pneumonia and an infection that occurs within 72 to 96 hours of injury is termed an early onset pneumonia. The nature and timing of Stonewall Jackson's illness following his wounding is consistent with the modem diagnosis of early onset pneumonia following chest trauma.
美国内战期间,南部邦联中将托马斯·J·“石墙”·杰克逊在钱瑟勒斯维尔战役中被自己的部下误伤。在被抬离战场时,杰克逊从担架上跌落,右胸撞到一块大石头或树桩上。在左臂截肢四天后,杰克逊右肺患上肺炎。他的主治医生认为,感染是由于他从担架上跌落时发生的肺挫伤继发所致。肺挫伤是创伤后肺炎发生的一个独立危险因素,受伤后72至96小时内发生的感染被称为早发性肺炎。石墙·杰克逊受伤后疾病的性质和时间与胸部创伤后早发性肺炎的现代诊断相符。