Should the lungs be congested with blood, they must be emptied. This
object may be attained either by pressing upon the lower part of the
thorax, which will have the effect of forcing the blood out through
the nostrils and mouth; or else the diaphragm separating the thoracic
cavity from the abdomen may be cut through, and the extravasated
blood can therefore be got out through the opening. The injection of
the thoracic cavity can also be performed through the same opening.
The utmost caution must be used in perforating the diaphragm, as some
of the arteries might be wounded by a careless use of the knife.
The above operation may be performed before closing the wound in the
abdomen or replacing the intestine into the cavity, as it will then
leave more room to collect the fluid which may escape from the lungs.
The lungs should in all cases be well injected, either through the
trachea or by the process given above. The air passages must be
carefully stopped with cotton. The mouth being closed, the nostrils
are about the only air passages which require the attention of the
operator. The eyes, after a few days, are liable to sink in the
sockets, which gives the body an unnatural appearance. Mr. John C.
Rulon, of Philadelphia, has invented a wax shell, which, after being
introduced under the eyelids, prevents the sinking of the eyes.
The arterial system is to be injected, and next requires attention.
Before commencing to inject the arteries, the jugular vein on the
left side of the neck must be punctured so as to allow the blood to
escape. In some subjects, the flow of blood will be very copious, in
which instance the jugular veins must be opened on both sides of the
neck; at other times the flow of blood will be very limited, and even
the opening of the veins has sometimes been found quite unnecessary.
The femoral artery is the vessel generally chosen for injecting, at
a point below the arch about eight inches from and below Poupart’s
Ligament. After the artery has been raised, a small incision is
punctured into the coat of the artery, large enough to admit the
nozzle of the injector, and the canula is carefully pushed upwards
into it as far as its length will allow; the artery is then safely
and firmly fastened around it, and everything is then ready for
injecting.
On the mode of injecting depends, in a great measure, the success
of the operation. With some of the instruments now employed, the
pressure of the injecting fluid is so strong and sudden as in some
instances to rupture the walls of the arteries at some weak point,
and fill the cavaties of the thorax and abdomen; sometimes even the
liquid has been forced in with such force and in such quantities as
to burst the arteries, and, after filling the chest, to pour out in a
stream from the mouth and nostrils.
In the above instances, it stands to reason that neither the arterial
nor venous systems have been properly injected.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account