The principles and practice of modern surgeryPark, Roswell
Science
The principles and practice of modern surgery
Park, Roswell
Surgery
A prognostic
significance often attaches to the accurate estimation of hemoglobin at
intervals after removal of malignant tumors.
A very convenient method for the ready estimation of hemoglobin is
afforded by the Tallquist color scale. It can be practised at the
bedside and is sufficiently accurate for the surgeon’s general purposes.
THROMBOSIS.
Thrombosis is a term applied to the formation of a _thrombus_--_i. e._,
a clot within the cavity of the heart or one of the bloodvessels--the
term being limited to coagulation of blood within these natural
cavities, and without specifying the exciting cause of the same. A clot
so formed is called a thrombus. To be accurate, a distinction should
be made between a thrombus, which is caused always before death--or,
rather, during life--and the _clot_, which is essentially a postmortem
affair. Our application, then, of the terms “thrombosis” and “thrombus”
refers solely to that which takes place during life. In order to
appreciate the conditions which lead to thrombosis it is necessary
to fully appreciate the reciprocal conditions which must normally be
maintained between the circulating blood and the walls of the vessels
in which it flows. Fluidity of blood depends always upon integrity
of the vessel wall. As long as its lining membrane is absolutely
undisturbed and normal, moving blood will never coagulate within it,
and the only thrombi that may be met within it are those which are
propagated from a distance. Coagulation of blood is, for the main part,
associated with the peculiar properties of fibrin.
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