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
VIII. The experiments cited in the first part of this essay, illustrate
the power possessed by the blood of preventing certain foreign
substances from circulating with it. They shew that pus, in particular,
has a tendency to coagulate the blood; and that by this means, when
introduced into the vessels, its progress is arrested in some part of
the circulating system. This fact, which, taken by itself, might appear
of little consequence, assumes considerable importance when considered
as one of the inherent properties of the blood, at all times ready,
under favourable circumstances, to be called into action in the living
body. The conditions under which pus will determine the coagulation
of the blood, and those under which it will circulate in the living
vessels, require to be accurately ascertained, before we can rightly
interpret the discordant evidence which we at present have upon this
point.
Dr. Sédillot,[29] in a work recently published, mentions, that a great
number of cases are met with, in which pus is poured into the general
circulation without meeting with any obstruction, and states that, in
such instances, he can detect the globules of pus in different parts
of the circulating system. He even affirms that he can recognise
a disease caused by purulent infection, by examining, under a
microscope, a portion of the blood abstracted from the body.
[29] De l'Infection Purulente, p. 399.
M. Dance, and, since his time, equally accurate observers, have, on the
other hand, failed to detect the characters of pus in the blood, even
when that fluid had been injected into the veins of living animals.
The results of these different observations may perhaps be reconciled,
by considering the influence exercised upon the globules of pus by the
blood, before its coagulating power has been impaired. This subject
appears not to have hitherto occupied the attention of pathologists.
In all the cases quoted by Dr. Sédillot, in which he detected the
globules of pus in the blood, the patients died of the disease; but
in the researches instituted by M. Dance and others, the experiments
were made upon animals in perfect health. In the latter, the pus cannot
enter the circulation, as has already been shewn, or can only do so
after the blood has partially or entirely coagulated round it, and the
coagulum has subsequently become broken up.
In the act of coagulation under these circumstances, the appearances
of the globules of pus are changed,--these being perhaps mechanically
compressed by the contraction of the fibrine,--so that the most
experienced eye can no longer recognise them.
Pus, mixed with healthy recently drawn blood, out of the body, will
entirely lose its characters in this way; and as the coagulation, is
by no means retarded in the living vessels, we may, without fear of
contradiction, affirm, that globules of pus cannot be detected when
introduced into the vessels in small quantities, and mixed with healthy
blood.
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