Phlebitis and thrombosis; the Hunterian lectures delivered before the Royal college of surgeons of England in March, 1906 . urbance, leads to obliteration of the affectedvein. It is apt to recur, and to spread from the point atwhich the vein has previously become obstructed. Dr. Briggs quotes cases in which the saphena, thefemoral, and the axillary veins were respectively the seatof the disease. He admits that the cases are * obscurealike in their pathology and in their remote and imme-diate etiology, but thinks that the affection is due tosclerosis of the veins, and is concerned with the wall
Phlebitis and thrombosis; the Hunterian lectures delivered before the Royal college of surgeons of England in March, 1906 . urbance, leads to obliteration of the affectedvein. It is apt to recur, and to spread from the point atwhich the vein has previously become obstructed. Dr. Briggs quotes cases in which the saphena, thefemoral, and the axillary veins were respectively the seatof the disease. He admits that the cases are * obscurealike in their pathology and in their remote and imme-diate etiology, but thinks that the affection is due tosclerosis of the veins, and is concerned with the wallrather than with the contents of the vessel. Dr. Briggs refers to a French thesis by Dr. Daguillon,^in which is described what the author calls a primitiveform of phlebitis—, a phlebitis without any immediatedetermining cause. It has a special clinical picture—thatof limited, localized, superficial phlebitis, affecting thelower limbs, causing slight local and no general reaction. ^ On Recurring Phlebitis of Obscure Origin, by J. B. Briggs,,/okns Hopkins Hospital Bulletin, June, 1905, p. 228. 2 Paris, 5.—THE RELATIONS OF THE ILIAC ARTERIES AND VEINS. THE LEFTCOMMON ILIAC VEIN (w) IS SEEN CROSSED AT A RIGHT ANGLEBY (a) THE RIGHT COMMON ILIAC ARTERY AND {/>) THELEFT INTERNAL ILIAC ARTERY. [ To face p. 45. Phlebitis and Thrombosis 45 It is of slow evolution, and shows a progressively ascend-ing march by successive attacks and relapses. Theprognosis is serious, owing to the facility with whichembolism occurs. This differs somewhat from the casesdescribed by Dr. Briggs, and Dr. Daguillon believes thatthe process is mainly one of parietal thrombosis, and * isan indication of a general diathetic influence, shown in anarthritic constitution, with or without actual gout—astatement which does not appear to me to throw muchlight upon its causation or pathology. It will be observed that thrombosis occurring in connec-tion with fever, chlorosis, phthisis, and other
Size: 1660px × 1504px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, bookpublishernewyo, bookyear1906
