In a former part of this work, it has been suggested that too much
care cannot be used in handling the bodies of persons who have died
of certain diseases, especially when their bodies are to be subjected
to the embalming process, which operation is rendered extremely
dangerous to the embalmer from the fact that the hands must,
perforce, come into direct contact with the denuded tissues, the
blood, or some vitiated secretion of the body.
We shall, in the following chapter, find instances when the
decomposition of certain parts of the body has taken place even
before death. It is obvious that in such cases the utmost caution is
necessary to avoid serious results.
THROMBOSIS AND EMBOLISM.
Sometimes during life, some portion of the body is in a condition of
gangrene, that is, the tissues are not only dead, but decomposing.
With the evolution of gases, the softening and liquefaction of the
solid parts, and the development of minute organisms, either animal
or vegetable.
The bodies of persons who have died from such causes, _decompose
with unusual rapidity_. The inner coats of the vessels are often
stained with the coloring matter of the blood. The viscera are soft
and flabby, the stomach may be swollen, and the kidneys congested and
degenerated.
People who have suppurating wounds or abscesses may, without much
change in the wounds or abscesses, be seized with rigors followed by
fever, become jaundiced and die.
In such persons after death, the same tendency to rapid
decomposition, and all the symptoms of the preceding cases are to be
found.
There is no way of accounting for the rapid decay in the preceding
cases, except by supposing that the pus from the original wound or
abscess in some way infects the system, and renders the tissues prone
to putrefy.
There is another modified condition of the body very different
from the two preceding. Either in consequence of wounds, injuries,
inflammations, abnormal conditions of the system, or changes in the
venous walls, the blood may become coagulated during life and form
thrombi in the veins.
These thrombi may become organized, or they may soften, break
down, and their fragments be carried into the circulation; by
their mechanical action in obstructing the vessels, they produce
extravasation of blood.
By the irritative character of the thrombi themselves, they excite
inflammatory action in the adjoining tissues; in this way are
produced multiple abscesses. Therefore, we find in persons who die
under such conditions, abscesses in the brain, heart, lungs, kidneys
and intestines; further we may find purulent inflammation and
abscesses in the connective tissues.
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