. Medical and surgical therapy . Fig. 11.—Perforation of the carotid bulb by a shell-fragment.(Authors case.) and through by a sharp fragment the size of a lentil,which fragment I removed from the posterior openingin the vessel, where it had lodged. Lastly, theremay be complete division or crushing, as in caseswhere the limbs are torn off or severely crushed bylarge fragments of shell or by minor projectiles. Onthe surface of the stump, or at the bottom of theextensive wound, may be seen the artery and vein. PHYSTOLOGTCAL CONSIDERATIONS 9 sometimes gaping, more often lacerated and flattened,bu
. Medical and surgical therapy . Fig. 11.—Perforation of the carotid bulb by a shell-fragment.(Authors case.) and through by a sharp fragment the size of a lentil,which fragment I removed from the posterior openingin the vessel, where it had lodged. Lastly, theremay be complete division or crushing, as in caseswhere the limbs are torn off or severely crushed bylarge fragments of shell or by minor projectiles. Onthe surface of the stump, or at the bottom of theextensive wound, may be seen the artery and vein. PHYSTOLOGTCAL CONSIDERATIONS 9 sometimes gaping, more often lacerated and flattened,but not bleeding. Such, briefly, are the principal types of war-woundpresented by the vessels. It is, however, essentialthat vascular lesion should not be regarded as con-stituting in itself a clinical entity. Its course isdetermined as much by the general characters of thewound as by the specific nature of the vascularinjury. It is hardly necessary to point out that bullet-wounds differ entirely from those caused by shell-fragm
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
