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
It has been shown upon very high authority, that the sides of a vein
do not unite after venesection (as has sometimes been presumed to be
Mr. Hunter's opinion); but that the divided edges only of the vessel
are agglutinated by the coagulum, which "serves as a bed to the new
membrane." But the case is different, should this first attempt at
union fail; the sides of the vessel may then become united, and its
cavity for a time obstructed (section IV). The approximation of the
sides of the veins would materially facilitate this action, which is
the natural security, under the circumstances, against the admission of
foreign matter. When an abscess is suspected to have formed in a vein,
a similar mode of treatment is recommended by Hunter; the compress, in
this case, being placed between the inflamed part and the centre of the
circulation. In the pathological museum of the College of Surgeons, one
of Mr. Hunter's preparations (No. 1728) exhibits such a case, where,
from the imperfect union of a vein, the contents of the abscess had
become mixed with the blood.
As the process of reparation has been variously described by authors,
so the different theories propounded have led to different kinds of
treatment. At the Veterinary College, even within the last few years,
it was publicly taught, that a coagulum in a vein was a foreign
substance, and ought to be removed; and the jugular vein in horses
which had been bled, was sometimes slit up for several inches, in order
to remove the coagula which formed in successive portions of its course.
That a coagulum in a vein may be an irritating substance has been
fully proved (sections I and II); but the irritation depends upon
the accidental admixture of foreign matter: and the inflammation of
the veins, produced by the contact of impure blood, requires to be
carefully distinguished from the natural mode of union by the first
intention.
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