OCR Text |
Show or 3.350155. the puL', with pain and constitutional irritation. This stage has been calh'c the secondaIy i111'1a11‘11nat10110ftl'1cabscess". Although. the walls of an abscess 11111 been in an inactive sorhcd ; and if the external wound heal, all fear of bad comes statc,l'1,r months, becoming as it were 11211111111127: pints of 11.11: 13V»)tom, yet 11111111111111-1113' upon being punctured, a ranid change begins. 1.111.: change is produced not 11'0111 the admis- sion of air; for it \will take. place111 circun1stanccs where air can11111110 admitted, hut in consequence of 61111111110111: sympathy, and of the 11holc .11t crunl su1‘111ce part-(11111157.; outcldy 01' the ac- tiouofthe111151111111:opening. ittherctoret 11:: 1111s ofthe openint; into the abscess he made to adhere, after evacuating the 111att7.r, the. eyet (11 the abscess 1 ill not intianic. That it procccds not mtricy 110111. the circumstance of an opening, ray 171711;."r 110111 this-Suppose that. we have at 11111110115 opening conununicating nith sinuses, and that the sinuses are callous, 1 . ,1».M~m1uhcur , 111111 1" __.‘w,._,,_ Japan. .0... .v, , : , '.'r-""¢- ._..-.,-... my»: ..-- T 350W.- or ABhL‘L‘n's. 13 111111111111. 39 quenccs ceases ; but it the wound fosters and euppuratcs, there is great dang,Cl 01 i.11tlannuation S‘111caciin57' to the whole cavity. Some have conceped that the''11111an1111ation of sacs and of abscesses, in coneequonce of their 1111111gopenr‘d, is owing to 1111:1111 coniingi in contact 17' 1111 the intcrnal :3111‘:l':ccs; other." that the phenomenon is to be. accounted for 1137 the access (11' the. air to the matte 1‘ 01' an ah:-:ece»9, a1::1 that it facilitates its mrrnptitni. This is1. r ‘11131‘1‘121'101‘111' ot' particular attention ; but it forms alt15.3.:1‘11‘1e1' a distinct question, since the same change 11111 he 111‘.o<lue:':d 1117 opening a joint in 11111-311 there is no pus, as 1);; (1110mm 21.1 Ply-c611 1111‘111‘11ttc1' 111'1-. 11 1:11ctr-1'1 has aln'a33 a tnidenryt o the surfaee. This is, the cttoot 01 an ulcerativc procrss, attended 17. it 11 an ahsorotion 01"- that part of the stool or cyst which is 111-11. the. sumhcc. I conceive. the cans-Le of this to 11111117; greater 11y iriaking an incieion in the mouth of these tubes, the whole cavity18 excited, and by 1111'711113advantage of this we procure sensibility and pronencsa to action 01117.: s17url'a‘e adhesion, or suppose that an cxteneivo gun-shot wound has, er parts have less sensibility, and 105:: prononessto 1111-21: tho fallen into a quiet state, by making incisions 11c interfere 17.1111 the process of nature, it we make our openings: and counter- acti77111 of the 91.11?cc, 11e i1ciiitatctthe pointing of the ahirrss. opening:, and the mom active inllannnatir‘ns a11L1'w f1om those incisions 11111 afl'ect the "hole €11r1ace, and rouse the wound to 113115"r0115 activity. Jho general nroposition stands thus changes of 111.1121 11111111111111". The deep- By promoting 111'1 tnsil 1111t 1' and The fascia, a 111.:311‘1111'anc. (11" no santihiiity, and of firm tex- turn, 17.1117: 11:1: a frat 1.1‘1ic:"1 :1‘ativcaction in colhctions otmatttr; "kc-on 11111:. 111'.:V 17.11 21 1110111:111. neglect; --naturc cannot support two distinct sta "s even of aL'111111211 action 011 the same 511r1111:'; and if a more active state 's in- 1111731111 at one point, it 11111 spread to the who 8 surfacet. ‘11 hat i;11'11'1'c .L‘aid of aheccss, 11' correct in dortr'nc, applies equally to the case of wounds 11131115t1'zitii1g the (121.1'1'11'1'5. {the 1"01 111911-:1111‘1‘,‘1..i;t.£<i in its progu to the {llifiltt‘,\\'1ll holly 111‘11tllicilll‘c l, andair 111111111 into it, the air \1'11 117.: al.1- that they are highly dangerous, and that thev seldom digest but with some ' 11.1111 1-11‘gc .losccssvs, 17.111117 the cyst is entire, the constitution 53.11:- the viscera, and in the 51111111111.- 01' joints; and these are parts certainlf. where 1101111115 and intiannnation are highly dangerous. Mcmhran-fi-s are continuous surfaces and in :15 far as they regard the dangers 01' intlannnu- work 1111111113.". . .' c.11111111‘ 111en1111‘anc, inr'inuatc amongst the 111u=clcs, and l1111‘1'.1.‘1111c-11 under the tindons and meta. '1 In all our best books 01' Surgery 011110 (1111 school, there is an 111111111111 prejudice ofthc consequence of the wound ot'nzmnlzranousports-1111 alarm hazard. 7'11111'51‘8 \‘U'y little 1111111111111 this c11Lu1L7'cot' the. nature 01' the disclnn‘t‘f‘" the lactic t'cwr is rapidly incrcis.:11, the 11:1111 101111111011 less apparent, 11:1: 1 11111.71, \11c:s17.111111or<‘ so1‘e1‘c,;11n‘t 1: 11'17.ht 5111 31:; mole (111111111111 1" 1 111:; this 111111111110 \111.rh 11111111111 make us 1:7cstute in distnilung £51" ‘3 17111111115111 tlicu‘ 1‘1Mural tour so, 11y 10111411 ' 1111111110115 and (l"casings. This is strictly ti 11c, 1'01 \\"l1e1c ale these 111(11111)1':111es 11111; :11 11111111 iion, moan 11111011 the same 111 ing‘ with cavnics 1‘- \\ hen mat tcr lodrjis de (711 111111111111, and 11111‘or 11ca11'n1usc1eu, it 111'- 111-» vtcss tendency to 1111111111117...111:» 1.110 51:11:11.0, anzl is 11111110111311) dangerous; 11115 111111611110 :11.»'1 ‘.\.1'1ch 11: :11;< s the sutUcon 011111 a 1.1'"c :11 '"1‘5511'." 1" L1111111 puncture in '1healthypartotthc shin 1.1131110 may 1110mm. adhesion irom lurking inactive there (or rather \1'1'111 110 sensible died), and spoiling; :1111'1' it. ject which would require a the bone. The ctl'cct (11"111e L 1151111- Munrr |