A system of surgery : pathological, diagnostic, therapeutic, and operative . ing to very marked functional disturbance. Among the affections with which aneurism of the thoracic aorta is most liableto be confounded are malignant tumors of the chest, especially encephaloid, abscess of the neck and anterior medias-tinum, disease of the heart, as hyper-trophy and valvular derangement, andaneurism of the innominate, carotid, andsubclavian arteries. The best securityagainst error will be an attentive consid-eration of the history of the case, and athorough study of its progress, time oftenthrowing m
A system of surgery : pathological, diagnostic, therapeutic, and operative . ing to very marked functional disturbance. Among the affections with which aneurism of the thoracic aorta is most liableto be confounded are malignant tumors of the chest, especially encephaloid, abscess of the neck and anterior medias-tinum, disease of the heart, as hyper-trophy and valvular derangement, andaneurism of the innominate, carotid, andsubclavian arteries. The best securityagainst error will be an attentive consid-eration of the history of the case, and athorough study of its progress, time oftenthrowing more light upon the character ofthe malady than the most elaborate auscul-tatory explorations. The treatment of intra-thoracic aneurismresolves itself into the adoption of mea-sures calculated to relieve the patientssufferings rather than to cure his disease,of which there is, in any case, hardly evena remote possibility. If plethora exist,an occasional bleeding cannot fail to ame-liorate, at least for a time, the pain and diflBculty of breathing. The circulation Fig. Aueurism of the arch of the aoita nearly flUedwith laminated clots. should be controlled by the cautious exhi-bition of veratrum viride, the diet be lightand concentrated, the bowels maintained in a soluble state, and suffering allayed by anodynes. Perfect quietude of mind and body must of course be observed. The annexed sketch, fig. 26t, from Jones & Sieveking, represents an aneurism of the arch of the aorta, the cavity of which is nearly filled with laminated clots. Nature had evidently made an effort, almost a successful one, at spontaneous cure. ANEURISM OF THE INNOMINATE ARTERY. The relative frequency of aneurism of the innominate artery does not admitof any definite statement, owing to the great discrepancy in our statistics. Thus, CHAP. V. ANEURISM OF THE INNOMINATE ARTERY. 709 in 119 cases of spontaneous aneurism, excluding those of the aorta, analyzed byLisfranc, the innominate is mentioned only four
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
