On the causes of death after amputation / by Thomas Bryant ; communicated by John Birkett.

  • Bryant, Thomas, 1828-1914.
Date:
1859
Catalogue details

Licence: Public Domain Mark

Credit: On the causes of death after amputation / by Thomas Bryant ; communicated by John Birkett. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    Iu all fatal cases of Amputation of the extremities Pathological amputation Amputations of expediency Primary amputation Secondary „ Exhaustion is the cause in 33- per cent. 33- „ 10- 32- GO- 9J Pyremia is the cause in .. 42- per cent. .. 43- .. 60- .. 43- .. 25- )) It will be observed, that in secondary amputations exhaustion is the most fatal cause, and in amputations of expediency the least fatal; and that in pathological and primary amputations the general average is maintained. On the other hand, it will be seen that, regarding pyaemia as a cause of death, the above is exactly reversed; pyaemia being most fatal in the amputations of expediency, and the least so in secondary amputations. In pathological and primary amputations the general average is the same. Comparing these fatal causes with the whole number of amputations, it will be seen in Table C that exhaustion is the cause of death in 8 per cent., and pysemia in 10 per cent. That exhaustion is most fatal in secondary, and the least so in amputations of expediency, and that it destroys 12 per cent, of primary, and 4 per cent, of pathological am- putations. Pyaemia, on the other hand, is most fatal in amputations of expediency, and the least so in secondary amputations. Comparing the same causes, viz., pymmia and exhaustion, as bearing upon the fatality of amputations of the thigh and leg, some interesting conclusions may be gathered from the following table: Pysemia Exhaustion as a fatal cause. as a fatal cause. pathological amputations Thigh. Ter cent. 44- . Leg. Per ceut . 33- . Thigh. Per cent. 33- . Leg. Per cent. . 33- amputations of expediency 50- . 75- .. 17- . . — primary amputations 27- . . 54- 58- . . 13- secondary „ 33- . . 12- .. 33- . . 75- amputations generally 40- . . 42- . 40- . . 32- In pathological amputations of the thigh, pyaemia appears