Modern surgery, general and operative . is: malarial fever, t^-phus fever: Asiatic cholera,and poisoning by phosphorus and by carbon monoxid. Lipemia commonlyoccurs as the result of lacerated wounds of the blood-vessels situated in fatt\tissue, and after fractures of long bones invohdng injm^* of the fatty matter(?CKnical Hematology-, by John C. DaCosta, In many cases of fracturein adults fat is foimd in the urine. I have had this demonstrated by \Mien we recall how rarely simple fracture causes death itbecomes e^•ident that a moderate amoimt of fat in the blood is
Modern surgery, general and operative . is: malarial fever, t^-phus fever: Asiatic cholera,and poisoning by phosphorus and by carbon monoxid. Lipemia commonlyoccurs as the result of lacerated wounds of the blood-vessels situated in fatt\tissue, and after fractures of long bones invohdng injm^* of the fatty matter(?CKnical Hematology-, by John C. DaCosta, In many cases of fracturein adults fat is foimd in the urine. I have had this demonstrated by \Mien we recall how rarely simple fracture causes death itbecomes e^•ident that a moderate amoimt of fat in the blood is not dangerousor only becomes dangerous if it fails to flow out. In Hpemia fatt\- embolismmay occur if the amount of fat becomes excessive or if vascular damage favorsplugging. At my suggestion, Dr. Wm. Carrington conducted an investigationto determine the frequency of lipuria after fractures (Essay Awarded the Siu-gical Prize in Jefferson ]\Iedical College in igo8\ He determined that fractiu-e^ G. H. Makins, in Heaths Fig. gg.—Fat-embolism of the lung after fractiireof tlie femur. The fat-globules and masses, stainedblack with osmic add, lie in the capillaries of thelung: X 150 Hektoen). ig2 Thrombosis and Embolism of long bones invariably causes lipuria, fracture of small bones seldom does; thatafter fracture of a long bone fat appears in the urine on different days, in dif-ferent amounts, and in different forms (this curious periodicity was firstobserved by Scriba in 1878); that when fat is present albumin is almost alwayspresent and blood is occasionally foimd; that the urea percentage falls as thefat content rises and rises as the fat content falls; that the condition is rarein young children and that fat-embohsm, as a rule, is a benign process; thatabout the fifteenth day after a fracture fat usually disappears from the , in 1908, found in hterature 276 reported cases of fat-embolism. Symptoms arise only when many emboli block a multitude
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
