Modern surgery, general and operative . Fig. 513.—Frontal section of skull. Mid-dle meningeal hemorrhage. The dura bulgesinward toward the skuU cavity (diagram) (Scudder). Treatment.—In treating extradural hemorrhage localize the clot, not bythe seat of the wound or contusion, but entirely by the symptoms. In adoubtful case endeavor to bring about reaction; but if the state of shock deepensor does not improve and if pressure SATuptoms increase, operate at reach the middle meningeal arter}- or its anterior branch trephine i^inches back of the external angular process, at the level of th
Modern surgery, general and operative . Fig. 513.—Frontal section of skull. Mid-dle meningeal hemorrhage. The dura bulgesinward toward the skuU cavity (diagram) (Scudder). Treatment.—In treating extradural hemorrhage localize the clot, not bythe seat of the wound or contusion, but entirely by the symptoms. In adoubtful case endeavor to bring about reaction; but if the state of shock deepensor does not improve and if pressure SATuptoms increase, operate at reach the middle meningeal arter}- or its anterior branch trephine i^inches back of the external angular process, at the level of the upper border ofthe orbit (see Figs. 502, 509, 510). If the incision does not expose the clot,trephine again at the level of the upper border of the orbit and just below theparietal eminence (see Figs. 509. 510). The first incision gives access to themain tnmk and to the anterior branch; the second incision exposes the posteriorbranch. If signs indicate that the clot is traveling to the base, the trephineshould be used \ inch lowe
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
