11. =Injection.= Injections for the demonstration of blood-vessels,
lymphatics, ducts of glands, etc., are rarely used in pathologic
work. The organs to be injected must be fresh, warm from the
body, if possible. The vessels should be washed out by a freshly
filtered 8 per cent sodium nitrate or sodium sulphate solution,
followed by physiologic salt-solution. A cannula is introduced into
a main vessel, tightly secured, and then connected with a syringe
or a gravity injection-apparatus giving a constant pressure. The
injection-mass is then injected under a low pressure. In the case of
injections into lymphatic vessels the cannula should be introduced
into the largest lymphatics at the periphery of the blood-vessels
where larger lymph-vessels are more easily found. Injections are
made with either cold or warm solutions; the latter are preferable
but require that the organ to be injected be warmed by immersing
it in water at a temperature of 40°C. The injection fluid must
be of the same temperature. After the warm injection is given
the organ is put into ice-cold 10 per cent formol solution until
fixed and then after-hardened, imbedded and stained as desired.
After the use of cold injections the tissues are fixed in 10 per
cent formol, alcohol, or any other desired solution, and treated
according to the end sought. Nuclear and diffuse stains contrasting
with the color of the injection mass should be used. The process
of injection requires great care; the pressure must be carefully
regulated to prevent extravasations, and the injection-fluid must
be free from air-bubbles. The injection is continued until the
organ appears diffusely stained. Blood-vessels are fixed in their
natural blood-injection by such agents as formol and chromic acid,
so that stains acting upon the red blood cells cause the veins and
capillaries to appear as if they had been injected.
The following injection masses are advised:—
1. =Cold Injection Mass (Beale’s Glycerin Carmine):—=
Dissolve 0.3 grm. of carmine in a small quantity of water
containing 5 drops of ammonia; add 15 cc. of glycerin and shake;
add drop by drop 15 cc. of glycerin containing 8-10 drops of
glacial acetic acid. Then add further glycerin 15 cc., alcohol 8
cc., and water 24 cc.
2. =Warm Injection Mass (Thiersch’s Berlin-blue Gelatin):—=
(_a_) Dissolve 1 part of gelatin in 2 parts of water by allowing it
to soak 24 hours, and then warming. Filter through flannel.
(_b_) Saturated water solution of ferrous sulphate.
(_c_) Saturated water solution of red ferricyanide of potassium.
(_d_) Saturated water solution of oxalic acid.
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