Modern surgery, general and operative . but aggravatevenous bleeding. Pressiire below a wound may arrest venous hemorrhage, butincrease arterial bleeding. 32. A moderate epistaxis, or bleeding from the nose, may be arrested byan injection of peroxid of hydrogen, an injection of a solution of antipyrin,or an injection of Carnots solution of gelatin. Favorite domestic expe-dients are keeping the arms raised above the head and appljdng ice tothe back of the neck. In severe epistaxis examine the nose by means ofa head-mirror and a speculum. If a Uttle point of ulceration is found, touchit by a cau
Modern surgery, general and operative . but aggravatevenous bleeding. Pressiire below a wound may arrest venous hemorrhage, butincrease arterial bleeding. 32. A moderate epistaxis, or bleeding from the nose, may be arrested byan injection of peroxid of hydrogen, an injection of a solution of antipyrin,or an injection of Carnots solution of gelatin. Favorite domestic expe-dients are keeping the arms raised above the head and appljdng ice tothe back of the neck. In severe epistaxis examine the nose by means ofa head-mirror and a speculum. If a Uttle point of ulceration is found, touchit by a cauter\^ If the bleeding is a general ooze, if it is high up, or if thecautery does not arrest it, pack the nares. It may be necessary to pack onenostril or both. Pass a Bellocq cannula (Fig. 228) along the floor of onenostril into the phar\-nx, project the stem into the mouth, tie a plug of lintor gauze wet with Carnots solution of gelatin to the stem, and withdraw the double string which emerges from the nostril in the hand and. Fig. 228.—Plugging the nares for epistaxis by the aid of Bel-locqs cannula (Guerin). 454 Diseases and Injuries of the Heart and Vessels pack gauze wet with gelatin solution from before backward. Tie the stringstogether over the plug; if both nostrils are plugged, the strings from onenostril are fastened to the strings from the other. Do not use subsulphateof iron, as it forms a disgusting, clotty, adherent mass. If Bellocqs cannulais not obtainable, push a soft catheter into the pharynx, catch it by a finger,pull it forward, and tie the plug to it. Remove the plug in two or three not leave it longer. It blocks up decomposing fluids and may lead toblood-poisoning. Pick out the front plug first, hold the string of the secondplug in the hand, push the plug back into the pharynx, catch it by forceps,and withdraw plug and string through the mouth. 33. In gunshot-wounds the primary hemorrhage is slight unless a largevessel is cut. The bleedin
Size: 1600px × 1561px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
