On the causes of mortality after amputation of the limbs. Pt. II. Diseases / by J.H. James.
- John James
- Date:
- 1850
Licence: Public Domain Mark
Credit: On the causes of mortality after amputation of the limbs. Pt. II. Diseases / by J.H. James. 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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![Analysis of Fatal Cases.] irritative fever, from phlebitis, or other secondary processes; the other from various causes, of a different nature. The latter will be given first, to clear the statement. On analysing the deaths, I find them as follows:— No. 14. A young woman, whose thigh was ampu- hausd^.^^' for disease of the knee, in a state of extreme exhaustion, with anaemia. She got sloughs on her nates, shoulders, and stump, and died within a month. She probably would have died equally without the operation. No. 167. A young woman. Thigh. For diseased knee. Died three months after the operation, from tubercular disease of the lungs, liver, and peritoneum. No. 288. A man, aged 40. Leg. Amputated for disease of ancle. Of a strumous habit. Went on well for a fortnight; a few days afterwards had hsematemesis, and died. No. 223. Young man. Thigh amputated for necrosis. Much hemorrhage continuing during the afternoon, he sunk and died on the following day. The haemorrhage caused much disturbance of his stump. On examination, his spleen was found much enlarged; it weighed 3^1bs. No. 238. Boy, aged 12. Thigh. For necrosis. Died of tetanus. No. 158. Old man. Thigh. For old ulcers. Died from sinking, seven days after the operation, stump not Tubercu- lar disease. Hsemate mesis. From sink- ing. Tetanus. From sink ing. uniting. Peripneu- monia no- tha. From shock No. 202. Old man, 78. Leg. For old ulcers. Cough prior to the operation. Died of peripneumonia notha two days after it. No. 48. Woman, aged 66. Thigh. For malignant sarcoma. Much hemorrhage during the operation. Nineteen vessels required ligature. Continued vomiting came on ; she became jaundiced, and died on the second day. Of these eight cases, none can be fairly traded to phlebitis or irritative fever, and four would in all probability have died if ampu- tation had not been performed, namely. Nos. 14, 167, 223, and 48. The others might not improbably have done so. I may remark, that in two of these cases, z.6., 223 and 48, much hemorrhage followed the operation, and thus not only exhausted](https://iiif.wellcomecollection.org/image/b22368462_0040.jp2/full/800%2C/0/default.jpg)
