Abstract
During the past several years artificial pneumothorax as a therapeutic measure in cases of lobar pneumonia has been enthusiastically employed. Initially pneumothorax was used empirically, and even at the present time the experimental data supporting the rationale of its use are meager (Lieberman and Leopold 1 ). The consensus 2 seems to be that the administration of artificial pneumothorax is a useful procedure in the treatment of unilateral lobar pneumonia when it is instituted early in the disease when there are no preexisting adhesions. The effect of this procedure in relieving the distressing symptoms of lobar pneumonia (pleuritic pain, dyspnea and toxic phenomena) has been described by most observers, and many have reported a critical fall in temperature (crisis) in approximately half the cases. The rationale for this procedure has not been subjected to extensive investigation, but the beneficial effects have been attributed to the following factors: (1) relief of pleural
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