A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomyThomas, A. R. (Amos Russell)
Science
A practical guide for making post-mortem examinations : $b and for the study of morbid anatomy, with directions for embalming the dead, and for the preservation of specimens of morbid anatomy
Thomas, A. R. (Amos Russell)
Anatomy, Pathological; Autopsy -- Handbooks, manuals, etc.
Dr. Vivodtsef of St. Petersburg, employs a mixture of carbolic acid and
alcohol. Taking alcohol of about ninety degrees, he adds one-fifth its
weight of carbolic acid; there being required of this mixture, a
quantity equal to about one-half the weight of the body to be injected.
It may be thrown into the vessels in the same manner as the solution of
the chloride of zinc. The high price of alcohol in this country, would
constitute an objection to the use of this substance, even if it afford
advantages over the zinc, which it probably does not.
_Instruments Required._ For the satisfactory performance of this
operation, there will be required the _anatomical syringe_. This
instrument consists of a brass cylinder and piston, of a capacity of
twelve to sixteen ounces, with a movable stop-cock, and series of
graduated pipes for arteries of different size. Each pipe has a small
rim or shoulder at the point to be introduced into the vessel, above
which the ligature is applied, which thus holds the pipe more securely
in its position.
The absence of the anatomical syringe should not, however, deter the
physician from attempting this operation, as, by a little preparation,
the common gum-elastic family syringe, of the Mattson or a similar
pattern, may be made to answer the purpose. The point of the small or
child’s rectum pipe may be reduced with a file, and a shoulder prepared,
about one-fourth of an inch from the end, for securely holding it when
tied in the vessel.
An apparatus of a complicated character, and working by atmospheric
pressure, has been devised for this purpose; but while it possesses very
few advantages over the syringe described, it is expensive and not
easily managed.
_The Operation._ In the dissecting-room, it is usual to open the chest
and inject through the arch of the aorta; but in other cases, one of the
common carotids, and better the right, may be selected. Extend the head,
placing thus the muscles upon the stretch, and along the inner border of
the right sterno-cleido-mastoid muscle, make an incision two inches in
length, through which may be exposed the upper portion of the common
carotid artery. After detaching the vessel from the surrounding
structures, it should be raised upon the handle of a scalpel and two
ligatures passed around, one of which is to be tightly tied, high up,
upon the vessel. Below this, a longitudinal slit, one-half inch in
length, should be made in the vessel, for receiving the pipe of the
syringe, which, when in position, should be securely tied with the
second ligature, just above the rim. The stop-cock joint may now be
fitted to the pipe.
To permit of the escape of as much of the blood as possible, an opening
may be made into the jugular vein, ligatures being passed beneath the
vessel—one above and one below the opening—that it may be closed at the
proper time.
Public-domain text, read in full here on John Shaqi.
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