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
introduced is allowed to remain a short time only in the vein, no
inflammation is produced (Experiment VI). But when any irritating fluid
is detained there in consequence of the blood coagulating around it,
adhesive, ulcerative, or suppurative inflammation, will be excited
(Experiments VII and VIII).
The slowness with which veins inflame when cut, tied, or bruised, has
been made a subject of comment by different authors; and Mr. Travers,
in particular, has endeavoured to reconcile "the infrequency of its
occurrence" with the rapid and violent character of the inflammation in
certain cases. Although, under ordinary circumstances, a wounded vein
does not inflame, yet the annexed experiments show, that pus introduced
into its cavity will produce inflammation, in which the system will
sympathize. Other fluids besides pus will no doubt produce similar
effects; but those of pus are here particularly noticed, as affording a
good illustration of the series of changes produced by the introduction
of foreign matter into the blood.
What the symptoms are which characterize the presence of pus, as
distinguished from other secretions in the blood, it would probably
be difficult to determine in cases as they occur in practice.
The examination of the blood in these instances affords no very
satisfactory information; for the characters of pus, when the blood has
once coagulated round it, are so altered, that I know of no means by
which a small quantity can be recognized, when it has once entered the
circulation. The conclusions drawn from the different facts now stated
are,--first, that inflammation of a vein, or phlebitis, is no essential
part of the primary affection which precedes constitutional symptoms,
even when morbid matter has found its way into the circulation through
a vein. Secondly, that when inflammation of a vein does occur, in some
instances at least, it is not the cause, but the consequence of the
introduction of diseased or foreign matter into the blood. Thirdly,
that although veins are with difficulty inflamed by any mechanical
injury, they are susceptible of rapid inflammation, accompanied with
constitutional disorder, whenever any irritating fluids are introduced
into their cavities.
III. When the principal veins in a part become obstructed, it is
natural to suppose that changes should be produced in the smaller veins
which supply them. These changes may be expected in a more marked
degree, when the obstruction depends upon coagulation of the blood,
than when it arises from other causes, inasmuch as the coagulum usually
extends to several veins at the same time.
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