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
Poupart's ligament; the vein, although contracted, was _manifestly
pervious_.
[19] Medico-Chirurgical Transactions, vol. xii.
V. It has been shown in the previous sections, that secretions mixed
with the blood will alter its properties, and influence the period
of its coagulation: that when the blood is thus altered, it may pass
through a vessel without leaving any trace of its passage; but that
if it coagulates and remains in a vein, the coats of the vessel will
then take on increased action. The exciting cause of the inflammation
in such cases appears to be conveyed by means of the contents of the
vessels to the vessels themselves. But, as in post-mortem examinations,
the changes produced in the vessels are much more easily recognized
than the alterations in their contents, the former have of late years
almost exclusively occupied the attention of pathologists. The cases in
which constitutional symptoms follow inflammation of the veins, will
be found to divide themselves principally into three large classes. 1.
Those in which one of the larger veins has been opened. 2. Those in
which some portion of bone has been involved in the original lesion. 3.
Those that occur after child-birth.
In each of these three classes of cases, a free communication will be
found to exist between the injured part and the general circulation.
The natural mode of sealing this communication, when it is no longer
proper, is the coagulation of the blood in the veins of the injured
part. When, from some constitutional affection, or from some local
peculiarity of structure, this intention is not fulfilled, a ready
passage remains open, through which the blood may become infected.
When pus has been injected into the veins, it has frequently happened,
that no great constitutional disturbance, and no signs of secondary
inflammation, have been produced; but this is believed to have depended
upon the coagula in the veins having prevented (as probably occurred
in Experiments VII and VIII) the foreign matter from finding its way
along the vessels. But if this obstruction be not offered, or be
overcome, then the appearance of secondary inflammation, accompanied by
corresponding constitutional symptoms, will be produced.
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