Surgical experiences : the substance of clinical lectures. / By Samuel Solly.

  • Samuel Solly
Date:
1865
Catalogue details

Licence: Public Domain Mark

Credit: Surgical experiences : the substance of clinical lectures. / By Samuel Solly. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

    638/676 (page 622)
    G22 chin; there is no pulsation; cough not so troublesome, though he cannot swallow very readily; appetite not so good. About 7.30 P.M. there was a little oozing of venous blood from the wound near the trachea. At 8.30 Mr. Solly arrived. When I came, I found my patient was a great deal worse, his countenance extremely anxious, pale, and slightly livid, bedewed with a cold sweat, and his breath- ing hurried and difficult. Tt was evident that lie would soon be suffocated if he were not immediately relieved. ]\Iy friend Mr. Le Gros Clark met me in consultation, and I made a small opening in the sac with a bistoury. As only a little venous blood and decomposed serum oozed out, I enlarged the opening downwards to the length of a couple of inches over the stern o-cleido mastoid muscle ; and below this muscle I passed the director into the sac, and allowed some more very fetid, decomposed coagula to escape. I then passed my finger into the sac, but still no arterial blood flowed. He was immediately relieved by the operation. A dresser was left in charge of the case, with directions that he should be watched night and day. Ordered, compound spirit of sulphuric ether, compound spirit of aromatic am- monia, of each, one drachm; water, one ounce; make into a draught, to be taken four times a day. 15tb.—Tbis morning be was decidedly better; there was slight oozing of serum through the night from the lower wound; his breathing was easier; the swelling under the chin not so great; pulse 92, soft and full; cough troublesome ; countenance not so anxious, and he seemed more cheerful. The nourishment he takes now is entirely hquid, being unable to swallow solid food. To- wards evening his circulation acquired more power, pulse being 100, and much fuller than in the morning. At 6.30 p.m. he seemed better; there had been a little oozing of blood through the day from the lower wound. At . 7.30 p.m., during one of his fits of coughing, a portion of the coagulum in the sac was displaced, and a jet of arterial blood came out; the finger was immediately placed over the opening in the sac, which con- trolled the hsemorrhage. The house surgeon, Mr. CompHn, was directly sent for. In changing fingers the blood spfrted out in a jet as large as the little finger, above three feet from the bed. It was evidently from a large vessel, and came from the upper part of the sac. A sponge dipped in gallic acid was introduced. The