The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . om the sound portion by a suppurative exulceration, and then the bloodimmediately begins to escape from the bruised vessel. The following ab- 1 Military Surgery, pp. 213, 214. New York, 18G5. 268 INJURIES OF BLOODVESSELS. stract and the wood-cut accompanying it (Fig. 451) afford good illustrationsof this topic:— A soldier,^ a^^ed 25, was wounded June 3, 1864, by a conoidal ball which entered theleft-axilla, and lodofed at the posterior border of the scapula ; it was extracted, and simpledr
The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . om the sound portion by a suppurative exulceration, and then the bloodimmediately begins to escape from the bruised vessel. The following ab- 1 Military Surgery, pp. 213, 214. New York, 18G5. 268 INJURIES OF BLOODVESSELS. stract and the wood-cut accompanying it (Fig. 451) afford good illustrationsof this topic:— A soldier,^ a^^ed 25, was wounded June 3, 1864, by a conoidal ball which entered theleft-axilla, and lodofed at the posterior border of the scapula ; it was extracted, and simpledressings applied. On the 15th secondary hemorrhage to the amount of twenty ouncesoccurred. The wound was tilled with lint, soaked in a solution of the persulphate ofiron, and a compress applied. On the 16th hemorrhage again occurred, but yielded tostrono- pressure on the compress. On the 17th the patient was very pale and anaemic,and was suffering much pain in the arm and shoulder. The compress and plug wereremoved, and the blood gushed out alarmingly. The wound was at once freely dilated. Fig. Gunshot contusion of left axillary artery; profuse secondary hemorrhage on the twelfth day; the vessel tied in vain. Spec. 2576, Sect. I., A. M. M. and the axillary artery tied. The hemorrhage stopped, and at the same time the heartceased to beat. Necroscopy—The axillary artery was found widely opened by slough-int^, about the middle of its course, on the side next to the track of the ball. Thespecimen is represented in the accompanying wood-cut (Fig. 451), which exhibits alarge, deep perforation, with jagged edges, involving nearly half the cylinder of theartery, about an inch above the origin of the subscapularis. The missile which penetrated the axilla in this case was nearly spent, and passing, it doubtless struck the side of the axillary artery (where the jagged aper-ture is shown in the wood-cut), and strongly bruised all its tunics, so that when theslough came a
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