A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
The wound healed favorably, but
he lost the use of his right arm, at first completely, and afterward
partially, for three months. At the expiration of that period the
power of the arm was restored; but he was invalided home on account
of severe pain in the back of the neck, “resembling toothache,” which
all treatment failed to relieve. This pain spontaneously and gradually
ceased; there is still some loss of substance of the trapezius muscles
of the right side of the neck, and of the right as compared with the
other arm, with occasional numbness when the man is in heavy marching
order; but in all other respects he is well, and is at his regular duty.
TETANUS.
One cause of fatal termination in gunshot wounds is tetanus. It is
generally believed that the proportion of deaths from this source is
greater after actions in tropical climates, and that exposure to the
night air in such regions has some especial effect in producing them.
The most common cause appears to be, however, the local injury to
nerves, already mentioned, producing irritation along their course,
and so leading to some morbid condition of the ganglionic portions
of the motor tracts of the spinal cord. In the Crimean campaign, the
proportion of tetanus was remarkably small as compared with former
wars, being, according to the returns, only 0·2 per cent. of the number
wounded. Dr. Scrive records that not more than thirty cases of tetanus
occurred among the French wounded during the whole Crimean war, and
this would show a somewhat less ratio even than in the British army.
Dr. Stromeyer records only six cases of tetanus among 2000 wounded
in the campaign of 1849 against the Danes. Three of these, in which
the disease assumed a chronic form, recovered. There was only in one
case injury of bone. Warm baths and opium were the remedies in the
successful cases.
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