A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
respiration was for some time carried on by the wound; it, however,
gradually and completely healed, and a favorable recovery ensued.
Another interesting case, hitherto unrecorded, occurred in a soldier
of the same battalion, at the last assault of the Redan. A rifle–ball
entered this man’s neck at the lower part of the left sterno–mastoid
muscle, passed across under the skin, wounding the anterior surface
of the trachea, severed some fibers of the right sterno–mastoid, and
effected its exit. The man was wounded at the same time by two other
rifle–balls, both flesh wounds, one through the left forearm, the other
through the upper part of the right thigh; while a shell exploding
near him, caused his left eye to be penetrated with particles of stone
and earth. Vision was lost; but in other respects, excepting a little
lameness from the wound in the thigh, he was discharged cured, after
fifty–six days’ hospital treatment.
Seven cases of gunshot wounds of the neck returned to England from the
late mutiny in India. They were all simple flesh wounds. In one the
musket–ball had not been discovered, and its position remained unknown.
The man was wounded at Lucknow, and the ball entered the left side of
the neck, close to the thyroid cartilage. Baron Percy reports a similar
wound and case of lodgment in his _Army Surgeon’s Manual_; in this
instance, the ball was known to pass away by the bowels, a fortnight
after the injury was received.
The liability to concussion of the cervical portion of the vertebral
column, and to injury of the deep cervical and other nerves, must not
be overlooked. Wounds of the neck are often accompanied by more or
less loss of power in one of the upper extremities; and more extensive
paralysis occasionally succeeds, although there was no primary evidence
of the spine being implicated in the injury.
GUNSHOT WOUNDS OF THE ABDOMEN.
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