Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . pulsates like an aneurism. The growth should beremoved early, otherwise the carotid becomes involved in the operation is deferred resection of a part of the common carotid and of theexternal and internal carotids may be necessary. When this is done we haveto consider the probability of serious cerebral disturbance which follows infully half of the cases and gives a mortality of about 25 per cent. Wheneverit becomes necessary to ligate or resect the c
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . pulsates like an aneurism. The growth should beremoved early, otherwise the carotid becomes involved in the operation is deferred resection of a part of the common carotid and of theexternal and internal carotids may be necessary. When this is done we haveto consider the probability of serious cerebral disturbance which follows infully half of the cases and gives a mortality of about 25 per cent. Wheneverit becomes necessary to ligate or resect the common carotid, gradual occlu-sion of the vessel should have been practiced, if possible, for several daysbefore the operation. It is the sudden shutting off of the blood supply tohalf of the brain that constitutes the danger. THE THORAX Anatomy.—The thorax contains the lungs, heart and trunks of the greatvessels (Fig. 1086). Its rigidity is maintained by the ribs which preventcollapse of the chest wall. A state of negative pressure exists within thenormal thorax. Fluids and air tend to rush into it, and are expelled only by. Fig. 1086.—Diagram of Front of dotted lines represent the borders of the pleurse. The heart and its compart-ments and the great vessels are shown in dark lines, i. Right auricle; 2, right ventricle;3, left ventricle. muscular effort. The surgical anatomy of the various organs (Fig. 1086a)of the thorax will be found in connection with each organ. Contusions of the Thorax.—Without causing discoverable injury of thethoracic wall, contusions may injure the heart, lungs, or important nerves tosuch a degree as to require treatment for cardiac rupture, valvular injury,pulmonary hemorrhage or shock. Aside from these conditions, contusion mayproduce a strain of the ligaments and muscles of the thorax which should be 396 THE THORAX 397 treated by rest. If the respiratory movements are painful, the pain may berelieved by hot applications or by applyin
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
