Modern surgery, general and operative . accompanied by fractureof the skull. Thesewounds are very danger-ous; foreign bodies (bone,hair, clothing, etc.) areoften lodged in the brain,hemorrhage is usually severe, and without proper treatment sepsis is almostinevitable. Such cases are very fatal, though some astonishing recoveries areon record. Figs. 519 and 520 show gunshot-fractures of the skull. The symptoms of a brain wound may be slight and long deferred or maybe immediate and overwhelming; they depend upon the site and extent of theinjury. Localizing symptoms may exist, and encephalitis wi
Modern surgery, general and operative . accompanied by fractureof the skull. Thesewounds are very danger-ous; foreign bodies (bone,hair, clothing, etc.) areoften lodged in the brain,hemorrhage is usually severe, and without proper treatment sepsis is almostinevitable. Such cases are very fatal, though some astonishing recoveries areon record. Figs. 519 and 520 show gunshot-fractures of the skull. The symptoms of a brain wound may be slight and long deferred or maybe immediate and overwhelming; they depend upon the site and extent of theinjury. Localizing symptoms may exist, and encephalitis with coma is aptto arise. Abscess may follow. In treating wounds of the brain always shave the entire scalp and examine the weapon, if possible, to see if a piece were broken off. Asepticize, enlarge the wound, trephine, arrest bleeding, elevate any depression, remove foreign bodies, irrigate the wound with salt solution, drain by gauze, suture the dura, and dress. Wounds in War.—When the bullet of a military rifle, fired at very close. Fig. sig.—Extensively comminuted gunshot-fracture of the skull(after von Bergmann). Treatment of Wounds in War 795 range, crosses the brain it may blow the skull into fragments, but often it doesnot, but produces fracture of the skull and wound of the brain. The ex-plosive effect is far less marked on the head of a living man than on the headof a corpse and may even be absent when the range was only loo yards. Atmoderate range, at the point of initial contact of the bullet with the skull,a fracture is produced, the opening is slightly larger than the bullet, and shortfissures commonly radiate from it. Fragments from the internal table areusually displaced and driven into the brain. The wound of exit is more ir-regular and is apt to exhibit more and longer fissures than the wound of en-trance. When a bullet strikes a glancing blow it may fracture the outer tablealone; it may produce a gutter-fracture (two scalp openings, and a gutterploughed th
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
