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
VII. As a necessary deduction from the accompanying experiments, and
those of M. Cruveilhier, alluded to in the previous section, we arrive
at the conclusion, that a vitiated condition of the blood may give
rise to inflammation of the veins in different parts of the body. The
circumstances which occasionally attend reparation of the uterine
veins after child-birth, will be found to lead to the same inference;
and the same general proposition will derive fresh support from the
consideration of this class of cases.
The veins which terminate upon the placental surface of the uterus
are necessarily open when this organ is distended, and become more or
less perfectly closed when it contracts. In cases when the contraction
is incomplete, innumerable open-mouthed orifices are left bathed in
secretions, which are often offensive and undergoing decomposition;
the natural protection to the vessels then, is the coagulation of the
blood in them. If examined, the uterine veins will be found filled with
coagula for some distance. But in cases where this power is impaired,
all the uterine veins and arteries recently separated from the placenta
may be found bathed in the secretions of the part, under circumstances
most favourable for their absorption. The passage of diseased
secretions through the vessels cannot always be traced in this, any
more than in the other forms of the disease. Many of the substances
introduced artificially into the circulation by M. Gaspard, produced no
action upon the coats of the veins through which they passed, and yet
the general symptoms were precisely similar to those originating from
genuine phlebitis. In accordance with this, it may be observed that the
uterine veins are often found perfectly healthy when the spermatic,
or renal, or still more distant veins are thoroughly disorganized.
In either case, the healthy condition of the veins near the original
lesion forbids the idea of inflammation having been propagated along
the coats of the vessels, while all analogy appears in favour of the
disease being transmitted through their contents.
In a certain number of cases no lesion will be found in any of the
veins of the body, but the uterine veins will be found to contain some
unnatural fluid; at other times coagula of blood, which have lost
their elasticity, gritty to the feel, and greyish or light brown in
appearance, will be found filling the veins or leaving intervals in
them, where lymph or pus may be recognized. It matters little whether
the unnatural fluids, thus found in the uterine vessels, have been
absorbed from the cavity of the uterus, or are the product of venous
inflammation. The effect upon the blood in either case would be the
same.
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