On the origin of inflammation of the veins: and of the causes, consequences, and treatment of purulent depositsLee, Henry, M.D.
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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
When pus is mixed with blood, fresh-drawn from a healthy animal, it
is found in a marked manner to favour coagulation. This effect does
not take place immediately, as in the case of the mixture of an acid
with the blood; and I have reason to believe, that where the blood has
lost its natural power of coagulation, no visible change is produced
in it by the addition of pus. It appears, therefore, that this effect
depends rather upon a vital than a chemical influence. In some cases,
the coagulation takes place in less than two minutes; in others, after
a longer period; but in all the experiments made, the influence of pus,
when added to blood, in promoting its coagulation, was sufficiently
evident. Putrid pus was found to act more rapidly than healthy pus
(Exp. 1, _b_), but the admixture of water was found to retard the
operation; the result, in this respect, differing in some degree from
the conclusion drawn from a similar experiment performed by Hunter.[7]
The causes which usually favour coagulation out of the body, are rest,
and separation of the blood into small quantities. These conditions
are, in some degree, brought into play during the circulation of the
blood through the capillaries; and when the influence of the admixture
of pus with the blood is not sufficient to produce coagulation at once,
we should naturally expect the effect to be more readily induced,
where these two additional causes concur in favouring such an action.
When the pus introduced is in any large quantity, the coagulation of
the blood is at once determined, and the entrance of pus into the
circulation thereby prevented. The experiments VI, VII, and VIII,
appear to furnish evidence of the correctness of this opinion, and to
show that the result may be produced more quickly in the vessels than
elsewhere. In these cases, so sudden was the effect, that the mixture
of blood and pus coagulated before it could traverse the jugular vein,
as indicated by the induration and cord-like feeling of the vessel.
[7] Op. cit. p. 98.
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