treating of inflammation of the various tissues and organs. Their
effects are various and diversified, according to the intensity of the
cause, the structure, function, and sympathies of the part affected,
and the state of the system. And it is also to be remembered, that not
unfrequently inflammatory action appears, whilst we can assign no cause
for its production.
Inflammation is said to terminate in _Resolution_, _Suppuration_, and
_Mortification_. The application of the word termination, however,
is injudicious; for in general the inflammatory action, though much
abated, is not extinguished by the occurrence of suppuration or
mortification, but often continues in the surrounding parts with
unabated intensity; and not unfrequently several of the terminations
occur combined with each other.
_Adhesion_ has also been mentioned as a termination of inflammation,
but perhaps improperly; for, although in certain parts of the body,
as in the serous cavities, adhesion is produced in consequence of
inflammatory action, and during its progress, still the process of
adhesion is altogether independent of this action in other textures,
such as the cellular. In the uniting of a flesh wound, a certain
degree of incited action of the blood vessels is necessary for the
accomplishment of the adhesive process; but should that incited action
reach the inflammatory pitch, the union by the first intention is
interrupted, and the wound must heal by granulation with suppuration.
The process of adhesion will be more properly attended to when treating
of wounds.
The various terminations of inflammation are salutary or destructive,
according to circumstances; but resolution is, in general, the one most
to be desired; complete resolution, however, perhaps seldom occurs;
after the inflammatory action has attained a certain point, this cannot
be expected to happen.
Resolution takes place in consequence of the reëstablishment of the
circulation in the capillaries, in which the blood had stagnated;
hence the diminution of the increased action in the larger vessels—the
effused fibrin, at the same time, if there was much swelling, is
partly absorbed. The circulation in the part becomes again natural, and
the circulating fluid also resuming its healthy properties, the redness
and sensation of throbbing cease. In consequence of the bloodvessels
regaining their contractility, the nervous system is no longer
preternaturally stimulated, and thus the increased sensibility is
done away with. In short, when inflammation terminates in resolution,
the part is left in the same state in which it was previous to the
supervention of the attack. It is not an instantaneous process, but
gradual in its completion.
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.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account