Observations on Aneurism: And Some Diseases of the Arterial SystemKnott & Lloyd, 1807 - 116 sider |
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Vanlige uttrykk og setninger
abscess adhered adhesion amputation aneurismal tumor aorta appeared applied arterial system attended bandage Birmingham bled bleeding body broth canal carotid castor oil cavity cellular membrane clavicle coagulable lymph coagulum of blood colour compression considerable continued contraction cure of aneurism digitalis dilatation diminished discharge disease dissection effect effusion examining experiments extended external external iliac artery extremity fascia felt femoral artery fever fibres fibula finger formed frequently gradually Guattani hard hemorrhage Hospital iliac artery immediately inches incision increased inflammation integuments internal coat internal surface knee laudanum ligature limb mode of cure months muscle muscular coat natural o'clock observed obstructed oedematous ounces pain passed patient perceived perspiration popliteal Poupart's ligament practice pressure pulsation pulse puncture radial artery removed roller rupture side skin stool substance suppuration surgeons Surgery swelling symptoms thigh thin tion tourniquet Tulpius tumor ulcerated urine vasa vasorum vein vessel violent wound
Populære avsnitt
Side 11 - ... an inch, and adhered so intimately to the internal surface of the artery as to form but one substance with it ; this lymph had on its surface four transverse lines, which seemed to mark where the ligatures had been applied. The other extremity of the lymph, or that next the head, also projected a little beyond the part at which it adhered to the internal surface of the artery ; attached to this lymph was found a very long coagulum of blood, which appeared to fill up the canal of the artery, but...
Side 22 - I have seen,'very high symptoms of irritation an,d inflammation come on, and, advancing with great rapidity and most exquisite pain, very soon destroy the patient, either by the fever which is high and unremitting, or by a mortification of the whole leg.
Side 8 - The mouth of the artery being no longer pervious, nor a collateral branch very near it, the blood just within it is at rest, coagulates, and forms, in general, a slender conical coagulum, which neither fills up the canal of the artery, nor adheres to its sides, except by a small portion of the circumference of its base, which lies near the extremity of the vessel. This coagulum is distinct from the former, and I have called it the internal coagulum.
Side 76 - I then pushed in a tent-like compress into the small wound of the tumor (viz. of the fascia), laid a broad compress over the outward wound, and put the patient to bed, with one of the pupils holding the hand upon his hip. " This was done at one o'clock, and at four the consultation met, and the operation was performed. And in my notes, I find two steps of the operation chiefly marked : — First, That upon our opening the tumor fully with an incision of eight inches long, and turning out the great...
Side 75 - ... great aneurism, but there was a possibility of its being a vast abscess ; and it was resolved in consultation that the patient should be carried into the operation room ; that a small incision should be made ; that the skin being cut, the bag itself should be just touched with the point of a lancet ; if found to contain matter, it should be fully opened ; but if blood, then it was to be considered as an aneurism of so particular a kind, as to entitle us to call for a full consultation. " I made...
Side 9 - ... secured by a gradual contraction which it undergoes, and by an effusion of lymph between its tunics, and into the cellular membrane surrounding it ; in consequence of which these parts become thickened, and so completely incorporated with each other, that it is impossible to distinguish one from the other : thus, not only is the canal of the artery obliterated, but Us E 4 55 extremity also is completely effaced, and blended with the surrounding parts.
Side 75 - ... muscle. The knife was struck into it, and large clots of very firm black blood rolled out ; for such was the tenseness of the tumor, that it began to emit the clots in this way, the moment it was punctured. There was one thing further desirable, that before we put the patient to bed, we should understand the case so far as to be able to report to the consultation, whether the artery was absolutely open, and whether it was the great artery of the hip. I continued therefore (knowing that the opening...
Side 7 - ... and the speedy coagulation of the blood, which is a well known consequence of such diminished action of the vascular system, most essentially contribute to the accomplishment of this important and desirable effect. A COAGULUM then,. formed at the mouth of the artery, and within its sheath, and...
Side 113 - ... from the action of the instrument, by a piece of board wider than the limb itself, by which means the artery only will be compressed when the screw is tightened, the tourniquet should then be twisted till the pulsation in the tumor ceases. In a few hours, as by experiment in the horse, the limb will become cedematous and swelled ; the tourniquet may then be removed, and no stronger pressure will be required than can easily be made with the pad and roller. The...
Side 7 - The retracting artery leaves the internal surface of the sheath uneven, by lacerating or stretching the cellular fibres that connected them. These fibres entangle the blood as it flows, and thus the foundation is laid for the formation of a coagulum at the mouth of the artery, and which appears to be completed by the blood, as it passes through this canal of the sheath, gradually adhering and coagulating around its internal surface, till it completely fills it up from the circumference to the centre.