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
In whichever of these ways the process of repair is commenced, it
may be interfered with, and the union dissolved. This is practically
known to farriers; who, when they want to bleed a second time from
the same orifice, break down the "union by the first intention" by a
blow upon the vein. During the time that the parts are united only by
the fibrin from the blood, any violence must tend to produce the same
effect. If the constitution is good, and the coagulating power of the
blood unimpaired, the union may be frequently interrupted, and yet
be as frequently re-established in the same way. When from any local
cause, or from any constitutional peculiarity, the union by the first
intention fails at the seat of the injury, it may yet be attempted at
some distance up the vein; and then we have coagula formed at different
distances along the vessel. If these coagula fill the vein, are firm,
and remain undisturbed by violence, the union may be complete, and
the vessel sealed at those parts, even although the original wound
should suppurate. But it sometimes happens, that the same peculiarity
of constitution, or the same local cause, which prevented the union at
the original wound, may prevent complete union by the first intention
at any other point of the vein; and then its canal is open to any
secretion that may be introduced into it. Foreign matter may thus
find its way along a vein; but still there is a provision against
its being carried the round of the circulation. It has been already
shown that the blood, when in a natural condition, has a tendency to
coagulate around pus, and, probably, many other fluids, even out of
the body (Experiments I, V), and that this property is exercised in
a still more remarkable manner in the living vessels (see Experiments
VII, VIII). Foreign matter, even after it has got into the veins, may
then, by the same means, be prevented from proceeding farther towards
the centre of circulation. The process that takes place under such
circumstances, is strictly analogous to union by the first intention.
The blood may coagulate and adhere to the sides of any part of the
vascular system. The union thus formed may be permanent, or the
coagulum may be again broken up and carried with the blood in the
course of the circulation, as shown in Experiment vi. When this occurs,
as is shown in the same experiment, other changes supervene in remote
parts of the body. This tendency to coagulate around the foreign matter
once impressed upon the blood, cannot be destroyed by the coagulum
being mechanically broken up, as indeed is proved by the fact already
mentioned, that after one attempt at union in a vein (in consequence
of the introduction of foreign matter) has failed, another attempt is
made immediately farther up the vessel. Under these last circumstances,
we may find a vein partially obliterated at different points, leaving
intervals where lymph or pus are secreted. If the purulent matter
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