The International encyclopaedia of surgery v. 3, 第 3 卷

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W. Wood, 1883
 

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第 xii 頁 - FRCS, Surgeon to St. George's Hospital; Member of the Board of Examiners, Royal College of Surgeons of England. CLINICAL LECTURES ON VARICOSE VEINS OF THE LOWER EXTREMITIES. With 3 Plates. 8vo., 6s.
第 57 頁 - ... external coagulum. This lymph fills up the extremity of the artery, is situated between the internal and external coagula of blood, is somewhat intermingled with them, or adheres to them, and is firmly united all round to the internal coat of the artery. The permanent suppression of the hemorrhage chiefly depends on this coagulum of lymph ; but while it is forming within, the extremity of the artery is further secured by a gradual contraction which it undergoes, and by an effusion of lymph between...
第 327 頁 - When superficial veins alone are affected there may be little oedema ; but when venous trunks, as the femoral, the whole limb assumes the characteristics of complete venous obstruction. It becomes big, clumsy, featureless, heavy and stiff; its skin is cool and may be pale, but more often it has a partial, slightly livid tint, with mottling from small cutaneous veins visibly distended.
第 56 頁 - 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.
第 169 頁 - ... danger expected. Sometimes a regiment, sometimes a brigade or division, was detailed from a corps for the duty. The nature of Sherman's march was such that trains and troops went side by side, as already referred to. The colored division of the Ninth Corps served as trainguard for the transportation of the Army of the Potomac from the Rapidan to the James in 1864. When ammunition was wanted by a battery or a regiment in the line of battle, a wagon was sent forward from the train to supply it,...
第 57 頁 - ... 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 its extremity also is completely effaced, and blended with the surrounding parts.
第 56 頁 - ... division. The natural impulse, however, with which the blood is driven on, in some measure counteracts the retraction, and resists the contraction of the artery. The blood is effused into the cellular substance between the artery and its sheath, and passing through that canal of the sheath which...
第 57 頁 - 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...
第 683 頁 - In some the thigh is reduced with no preparation, with slight extension, directed by the hands, and with slight movement; and in some the reduction is effected by bending the limb at the joint, and making rotation.
第 57 頁 - This coagulum is distinct from the former, and I have called it the internal coagulum. IN the mean time, the cut extremity of the artery inflames, and the vasa vasorum pour out lymph, which is prevented escaping by the external coagulum.

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