On the origin of inflammation of the veins: and of the causes, consequences, and treatment of purulent deposits — John Shaqi
On the origin of inflammation of the veins: and of the causes, consequences, and treatment of purulent depositsLee, Henry, M.D.
History
On the origin of inflammation of the veins: and of the causes, consequences, and treatment of purulent deposits
Lee, Henry, M.D.
Blood; Veins -- Diseases
The foregoing remarks have appeared necessary, in order to explain a
circumstance mentioned by Hunter, upon which considerable stress has
been laid by subsequent writers. Mr. Hunter observed that the whole
side of the head in horses that had been bled would frequently become
swollen and inflamed. The explanation of this fact appears very simple,
when viewed in relation to the general principle illustrated by the
above cases. The horse has only one jugular vein upon each side;
and, although in the usual operation of bleeding, its channel is not
obstructed, yet if the wound do not readily heal, its contents will
coagulate. The circulation will then be obstructed in all the distant
branches, and the blood, if long retained, will coagulate in them also.
It will then part with its serum, and give rise to all the symptoms
of inflammation in the distant vessels; a pulpy elastic swelling,
accompanied with great pain, will then be the principal symptom, while
the turgescence on the surface will be less than where the superficial
veins have been mechanically compressed. It will, however, very
frequently happen, that a vein in a part may be felt distended without
any symptom of inflammation being present; and, in other cases, the
pain and swelling will appear and disappear too rapidly to allow the
idea that they depend upon inflammation of the coats of the vein.
It has occurred to the author, to feel a vein in the arm and hand
distended during life, and after death, to find it empty, and its coats
of their natural colour and thickness; in such a case, the coagulum
gives way, becomes broken up, and mixed with the circulating blood.
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