. Diseases of the rectum and anus: designed for students and practitioners of medicine. has a death-Hke pallor, becomes anxious, rest-less, faint, and finally unconscious; the pulse-rate increases,but the beat loses in force and volume and gradually becomesimperceptible; finally the patient collapses and dies of com-plete exsanguination. ? METHODS OF ARRESTING HEMORRHAGE The methods of arresting hemorrhage are many, but thosefound to be most reliable are:— 1. Ligation. , 4. Application of hot or 2. Pressure. cold water. 3. Torsion and clamping. 5. Cauterization. 6. Styptics. HEMORRHAGE 477 Lig


. Diseases of the rectum and anus: designed for students and practitioners of medicine. has a death-Hke pallor, becomes anxious, rest-less, faint, and finally unconscious; the pulse-rate increases,but the beat loses in force and volume and gradually becomesimperceptible; finally the patient collapses and dies of com-plete exsanguination. ? METHODS OF ARRESTING HEMORRHAGE The methods of arresting hemorrhage are many, but thosefound to be most reliable are:— 1. Ligation. , 4. Application of hot or 2. Pressure. cold water. 3. Torsion and clamping. 5. Cauterization. 6. Styptics. HEMORRHAGE 477 Ligation is always to be relied upon when large, spurtingvessels have been ruptured by disease or severed during opera-tion. Catgut or silk Hgatures are the best for this vessel should be firmly grasped with artery-forceps andthe ligature applied well beyond the end of the clamp, in orderto obtain a good hold; then two, or, better, three, knots shouldbe tied and the ends of the ligature left long to prevent sHp-ping. Masses of tissue which bleed from a number of points. Fig. 160.—Drainage-tube Wrapped with Gauze. may also be ligated if desirable; the ligature should be firmlyapplied about their base or by a double ligature, as the bleedingmay be averted by a running suture. Pressure may be used to arrest capillary oozing or bleedingfrom a small vessel. In conjunction with hot water it is espe-cially useful during operations. Superficial compression is notto be relied upon in extensive wounds in which large vesselshave been injured and cannot be reached or located for liga-tion. In such cases the wound should be tightly packed with


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910