Selected monographs.

  • Kussmaul, Adolf, 1822-1902.
Date:
1859
Catalogue details

Licence: Public Domain Mark

Credit: Selected monographs. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

    47/455 (page 31)
    iu oedema and suffocation, as is frequently the case in rabbits and sometimes in men (Ham), after the innominate artery has been tied. It must have proceeded from the brain; the quantity of blood conveyed to it through the two contracted vertebral arteries not sufficing for its nutrition. The statement that the vessels of the brain contamed the usual quantity of blood should not bias our judgment; for the vessels which, in the dead body, contain the usual quantity of blood are the veins. As a rule, the arteries are entirely empty m the smaUer branches, and almost entirely so even in the larger ones; and dissection wiU scarcely ever show the exam ''''^'^ ^^^^ shaU soon examme these facts more closely. It may further be asked, why no convulsions took place, notwithstanding the fatal diminution in readJy supphed m considering the age3 and feeble constitution of tne persons operated upon. tied tT^^^^^^ ^^^^^^^^^ - whichLangenbeck^ fet t,ed the right thyroid artery, and the right carotid eleven days the wound. At the post-mortem examination the right lobe of he cerebrum appeared aneemic, and its s.u-face covered titii exud tions (serum .P), wliilst the left lobe was gorged with blood W exudation (serum?) was discovered in IJight vent^Te'buf i^n^::::Z:::^Z::') thave°eonvinced us that in tying the But if, in order to aToid ti is *° °^ the patient, fore tLopert 0 ° r; ^i adopted be- from the brain, i s nutrit oT h J ^^^ed, another danger will ensue the absolute, n of 0 t 'Sti-t' l ' T'^'' ^^^ important vessels of s ppl/ mfn t eref^ 7 'r'. ''^ °' ''^^ tied, a too copious venesect on n u ' '^^ *o be surgeons, shol L aSd ' ' ^^ wolartetlteSS yt::;^^^^^^^^ ^.^f P-«-> that of a results, clearl/showa that tt ''^^ ^'^.V ^e^ous by very old persons ° ^^ ^'-^i-es well borne ^ Langenbcck, 'Ncuc Bibl.,' vol. iv, st. 3, p. 586.