Modern surgery, general and operative . Fig. 189.—Radial pulse-tracings in aneurysm of right brachial artery: i, Left radial pulse; 2, right radial pulse (after Mahomed). laryngeal causes hoarseness, which may be associated with loss of voice, cough,and laryngeal spasm, and is due to unilateral abductor paralysis. Pressureupon a bronchus or the trachea causes dyspnea from obstruction, dysphagia,and cough from laryngeal spasm. Pressure upon the cervical sympathetic. Fig. 190.—X-ray of aneurysm of thoracic aorta. first causes dilatation and later contraction of the pupil of the same side. Athora
Modern surgery, general and operative . Fig. 189.—Radial pulse-tracings in aneurysm of right brachial artery: i, Left radial pulse; 2, right radial pulse (after Mahomed). laryngeal causes hoarseness, which may be associated with loss of voice, cough,and laryngeal spasm, and is due to unilateral abductor paralysis. Pressureupon a bronchus or the trachea causes dyspnea from obstruction, dysphagia,and cough from laryngeal spasm. Pressure upon the cervical sympathetic. Fig. 190.—X-ray of aneurysm of thoracic aorta. first causes dilatation and later contraction of the pupil of the same side. Athoracic aneurysm may erode the ribs, sternum, or vertebrae. The x-rays areof great value in diagnosticating thoracic aneurysm (Fig. 190). An aneurysm inthe neck may interfere with the cerebral circulation and produce vertigo andeven attacks of unconsciousness. The evidences of rupture of an aneurysm of Treatment of Aneurysm 421 an extremity into the tissues are loss of distinctness of outline and increase inarea of the swelling, weakening or disappearance of both bruit and pulsation,absence of pulse below the aneurysm, severe pain, edema and coldness of thesurface, shock, and possibly syncope. External hemorrhage may arise; thetissues may become extensively infiltrated with blood; sloughing or gangrenemay ensue. Death is frequent, and only in very rare cases does spontaneouscure take place. Rupture of a large aneurysm into a cavity causes intensepallor, advan
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
