_Mortification_, or the death of a part, is also one of the results
of inflammatory action, and the term has been subdivided into
_Gangrene_ and _Sphacelus_. Gangrene is that state in which the
larger arterial and nervous trunks still continue to perform their
functions; a portion of the natural temperature remains, and the part
may be supposed still capable of recovery. Sphacelus, again, expresses
complete death, when, putrefaction being no longer resisted, the part
becomes black, cold, insensible, and fetid; but, in general, the
distinction between the terms is not strictly attended to. A division
of more importance is into humid and dry, or traumatic and chronic,
gangrene; humid or traumatic being applied to mortification produced by
external injury; dry or chronic to that resulting from a constitutional
cause.
Mortification is not always a result of inflammation; it is sometimes
preceded by incited action of the vessels, sometimes not. It follows
as a matter of course that if inflammatory action is so violent as to
cause stagnation of blood in most or all the vessels of a part, and
this is continued, there must be a consequent failure of nutrition,
which will terminate in mortification.
Humid or traumatic gangrene frequently occurs without previous
inflammation, the injury being so severe as at once to deprive the
part of its vitality. Dry or chronic mortification is often unpreceded
by inflammatory action, or at least it is slight and of very short
duration. It is preceded by stagnation, or is at all events coincident
with this stagnation, not in the smaller vessels only, but in the
trunks leading to the affected part. In humid gangrene, swelling with
erethismus generally precedes the death of the parts; whereas in
the dry, whether the surface change colour immediately or not, they
shrink immediately. In the former they quickly lose their vitality,
and consequently retain a considerable portion of their fluids; in the
latter the process is much slower, and they become dry and shrivelled.
Public-domain text, read in full here on John Shaqi.
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