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
In cases where, from long-continued disease and the repeated
introduction of vitiated fluids into the circulation, the blood has
lost its power, there appears no reason to doubt the correctness of Dr.
Sédillot's observations; and it is probable that pus-globules may then
circulate with those of the blood.
In experiments upon animals, it has always been found that the power
of the constitution, in resisting the effects of the injection of pus
into the veins, was much greater at the first than at any subsequent
operation. This circumstance would appear to associate itself directly
with the observations now made, and to afford another illustration of
the power of healthy blood in resisting the entrance of some foreign
matters into the system.
From the consideration of these facts, and of the experiments
previously recorded, it becomes evident, that the introduction of pus
into the system through an injured or inflamed vein, can rarely be the
first step towards purulent infection of the system. Some change must
previously have passed in the blood, by which its coagulating power is
impaired, or some unusual mechanical means must have been employed,
before the pus can find its way in the course of the circulation.
The contradictory statements which have been made by those who have
injected pus into the veins, may thus be reconciled, by taking into
account the power exercised by the blood in the experiments which have
been made. There can be little doubt that, while, in some instances,
a portion of the pus has been forced into the general circulation, in
the great majority of cases it has been detained in the vein into which
it was first introduced, and has never become part of the circulating
fluid. We accordingly find some experimenters recording the secondary
diseases which they observed, while in other hands these appearances
were not produced.
Dr. Sédillot[30] has attempted to prove that the globules, or solid
parts of pus, must be introduced into the system, in order to produce
well-marked indications of purulent infection. But this hypothesis
would not only appear to be at variance with the oft-repeated
experiments of MM. Gaspard and Cruveilhier, in which similar effects
were produced by the injection of mercury and of putrid fluids,
but would also leave unexplained the mode of the introduction of
these globules, where there is evidence that the disease has been
communicated through the lymphatic system. The changes which all
substances undergo in their passage through the absorbent glands, would
at once forbid the idea that globules of pus could be thus introduced
unchanged into the circulation; and yet we have direct evidence (Case
XXIX) that irritating fluids are conveyed in this way into the system,
and lead to the formation of secondary abscesses.
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