Some practitioners have used mercurial frictions along the spine, or
on other parts of the surface; while others administer stimulants,
and enemata with tobacco and turpentine. When there is reason to
apprehend that the symptoms arise in consequence of laceration or
partial division of a nervous trunk, it has been recommended to
complete the division of it; and the practice is worthy of adoption,
as in some cases it appears to have been successful. Little good can
result from scarification of the wound. Amputation of the wounded
member has also been proposed, particularly in chronic cases, and
in one or two it has succeeded. I have made trial of it in but one
instance, and in that it failed. Acute tetanus had followed a lacerated
wound betwixt the thumb and forefinger; amputation of the forearm
was performed, and immediately after the operation the spasms abated;
but they soon returned, notwithstanding the free use of opium, and
other remedies, and the patient died. In this case, the branch of the
median nerve was found partially divided, and its cut extremities were
thickened and inflamed. During the operation, I wished to abstract
a considerable quantity of blood, but the arteries seemed to be so
spasmodically contracted, as to permit the flow of a small quantity
only. On examination after death, the median nerve was of its natural
appearance, excepting at the bend of the arm, where it was of a
bright-red colour. No change could be perceived in the brain or spinal
chord, though the examination was conducted with the utmost care.
OF ULCERS.
By ulcer is generally understood a breach of continuity in the soft
parts of the body, with secretion of purulent or other fluid. But as
suppuration may be independent of ulceration, so may we occasionally
see a loss of substance like an ulcer on the surface of parts,
without the production of pus, or any other morbid secretion, of
which some instances are noted in the remarks on Atrophy of Articular
Cartilage. Mr. Burns, in his excellent volume on the Principles of
Surgery, has extended the term to the reparative process, as well
as the destructive; this, if adopted, would lead to confusion and
misapprehension.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account