Lectures on some of the more important points in surgery, 第 3 卷J. Churchill, 1846 - 279 頁 |
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abdomen abscess adhesive afterwards amputation aneurism aneurismal applied auscultation axillary artery ball Baron battle battle of Waterloo belly bladder bled bleeding bone bowel breathing carotid cavity chest cicatrix clavicle closed compress consequence cough cured diaphragm died discharge disease divided edge effusion empyema enlarged evacuated expectoration external iliac artery external wound fascia femoral artery finger fluid followed healed heart hemorrhage hospital inches incision inflammation injury intercostal intestine left side ligature limb lower lung matter membrane mortification muscle musket-ball nerve omentum opening operation ounces pain passed patient penetrating pericardium peritoneum placing a ligature pleura posterior Poupart's ligament pressure protruded pulsation pulse puncture purulent quantity of blood recovered removed ribs right side serous skin soldier sternum stomach subclavian artery suppuration surgeon surgery suture swelling symptoms take place thigh tied tion treatment tumour ulnar artery upper urine vein ventricle vessel whilst wounded artery
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第 84 頁 - When the broken bone injures the artery, and gives rise to an aneurism, the treatment is to be, first of the fracture and then of the aneurism, as soon as circumstances render it advisable or necessary to have recourse to the operation for aneurism...
第 78 頁 - ... passed a single silk thread around so as to close the opening without destroying the continuity of the vessel. The ends of the ligature were cut off close to the knot. The carotid was then clearly seen by the side of the vein, having a transverse mark or cut upon it, which did not appear to penetrate beyond the middle coat ; and, after due consideration, it was presumed that this wound might heal without requiring a ligature to be placed upon the artery. On the eighth day, arterial...
第 54 頁 - From this point the aorta and pulmonary artery ascend ; the former inclining slightly to the right, coming in contact with the sternum, when it emerges from beneath the pulmonary artery, and following, or perhaps rather exceeding, the mesial line till it forms its arch...
第 80 頁 - I made an incision with a scalpel downwards, along the course of the artery, to more than an inch below the point where the external branch was given off, which, as stated above, had been destroyed at the time of the injury. Having but one hand at liberty, I depended upon the mother of the patient to separate the sides of the wound, which she did, partly with a hook, and occasionally with her fingers. At length, partly by careful dissection, and partly by using my fingers and the handle of the scalpel,...
第 104 頁 - The following method of operating for the application of a ligature on this vessel has been proposed by M. Goyraud. It may be done with ease in the three first intercostal spaces ; it offers some difficulties in the fourth, is very difficult in the fifth, and is scarcely to be done lower down. An incision two inches in length is to be made near the side of the sternum from without inwards, at an angle of forty-five degrees with the axis of the body. The middle of this incision should be three or...
第 83 頁 - The intervention of muscular fibers, or of whole muscles, is not a sufficient reason for tying the artery at a distant part They must be divided, if it be possible, to the extent required for a due exposure of the injured artery, and its accompanying veins and nerves. 5. If the wound pass indirectly to the principal artery, from the back of the thigh, for instance, to the femoral artery in front, or from the outside of the arm to the humeral artery on the inside, the surgeon may (on satisfying himself...
第 71 頁 - A gun-shot wound penetrating the cavity, can never unite, and must suppurate. If a wounded intestine can be seen or felt, its torn edges may be cut off, and the clean surfaces united by suture. If the wound can neither be seen nor felt, it will be sufficient for the moment, to provide for the free discharge of any extravasated or effused matters, which may require removal. 16. A dilatation or enlargement of a wound in the abdomen, should never take place, unless in connexion with something within...
第 71 頁 - Cases 56, 57, and 72. 6. As soon as the presence of even a serous fluid in the chest is ascertained to be in sufficient quantity to compress the lung against the spine, and time has been allowed for the closure of the vessel from which blood originally flowed, a counter-opening should be made in the place of election for its evacuation by the trocar and canula, which may be afterwards enlarged, unless the re-opening of the wound should be thought preferable, which will not be the case unless it should...
第 26 頁 - Let a small round sewing needle armed with a silk thread be passed near to the lines formed at the bases of the everted lips. The thread is to be carried at short regular distances through the whole extent of the wound, the operator being mindful that an equal portion of the edges is included in each stitch. When the suture is finished, let the thread be securely fastened, and cut close to the knot. The reduction of the...
第 31 頁 - ... which it completely filled. A large jet of fresh blood instantly filled the cavity I had emptied ; but the precise spot from whence it came being perceived, I was enabled by pressure with the finger, to prevent any further effusion, while that which had been just poured out was removed by the sponge.