System of Surgery, Vol. 3: Surgery of the Larynx, Tongue, Jaws, Teeth, Salivary Glands, Neck, and Chest; Diseases and Surgery of the Eye and Ear; ... System; Syphilis (Classic Reprint) - Tapa blanda

Sinopsis

Excerpt from System of Surgery, Vol. 3: Surgery of the Larynx, Tongue, Jaws, Teeth, Salivary Glands, Neck, and Chest; Diseases and Surgery of the Eye and Ear; Surgical Diseases of the Skin; Surgery of the Genitourinary System; Syphilis

Of the head and also by inspiration. Hemorrhage is generally severe, even when the large vessels have not been injured. The entrance of blood into the air-passages is an additional source Of danger. Breathing is sibilant, and frothy blood and mucus are thrown out. There is more or less aphonia, caused by injury to the vocal bands, division of the recurrent nerves, the inferior location of the wound, and later by oedema. Dysphagia and thirst are marked. Small oblique wounds sometimes cause emphysema and rapid asphyxia. Dyspnoea may also arise from the passage of blood into the bronchi and from the obstruction due to partly detached fragments of tissue. Death may quickly follow these wounds from hemorrhage and from the asphyxia caused by it. More Often their gravity consists in the inflammation or the septic infection which is apt to complicate the smaller wounds, and in the necroses the inhalation of detached fragments, the growth of granulations, secondary hemorrhage, tracheo-bronchitis, pleurisy, and broncho-pneumonia. Death follows in from eleven to fourteen days, and in uncomplicated cases re covery in from thirty to forty. As sequelae defective voice, stenosis of the larynx, and tracheal fistula sometimes occur.

The prognosis is serious, 24 per cent. Of large, 52 per cent. Of small, and over 40 per cent. Of gunshot wounds proving fatal.

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