EXPERIMENT VIII.

A healthy ass, six years old, was operated on upon the 16th of

November, 1848. The respiration was naturally 14 in the minute, and the

pulse 38. About two ounces of highly offensive pus, obtained from the

frontal sinus of a horse, were injected into the left jugular vein; the

pus had unintentionally been mixed with water previous to its being

injected. The vein became full during the operation, as though the

blood in it were in a semi-coagulated state. The pulse now became 60,

and the respiration 20 in a minute; slight rigors occurred in two hours.

_November 17th._ The animal is tranquil; appetite good; pulse 48, small

and wiry; respiration 16. In the evening he was rather more excited;

the vein was becoming inflamed downwards towards the heart; pulse 60;

respiration 20.

_November 18th._ The vein was more inflamed, and slight suppuration was

visible at the orifice of the wound. Respiration 16; pulse 55. From

this period to the 23rd, the pulse continued from 55 to 60, and the

respiration varied from 12 to 18.

_November 26th._ The swelling in the situation of the vein is rapidly

subsiding; pulse 55; respiration 12.

The animal gradually recovered, and on the 26th of February, 1849, was

made the subject of another experiment. The right jugular vein having

been opened, two fluid ounces of pure healthy pus were injected, and

propelled in the course of the circulation, by pressure upon the vein

externally. The vein became tense during the operation, and sensibly

resisted the attempts that were made to propel its contents towards

the heart. _Even forcible pressure was not sufficient to overcome the

resistance offered to the return of blood._ Soon after the operation,

the animal had a rigor; the breathing became laborious, but not

accelerated; pulse 57.

After the lapse of seven hours, the animal appeared dejected; he

refused to eat or drink; the extremities were cold; breathing 16 in the

minute; pulse 60, small and irregular.

_February 27th._ The vein can be felt thickened as far as the sternum.

The general symptoms are the same as on the previous evening.

_28th._ There appears less constitutional irritation; pulse 60;

respiration 14.

_March 2nd._ Appetite still indifferent; pulse 60; respiration 16.

From this date to the 7th, when the animal was destroyed, the general

symptoms continued much the same, but the induration and swelling

around the jugular vein, from the opening to the sternum, became

greater.

_Post-mortem appearances._ The left jugular vein was found completely

obliterated. The remains of a firm coagulum obstructed its canal for

some distance below the opening which had been made into it, and

terminated, below, in an elongated conical portion, which adhered to

one side only of the vessel. On the right side, an abscess had formed

in the course of the vein; and for two inches, the whole of the parts

were imbedded in a confused mass of pus and lymph, in which it was

impossible to distinguish the structure of the vein. Both above and

below this, for several inches, the vein was filled with coagula,

which effectually obliterated it. These coagula extended for several

inches in the course of the circulation; but beyond them, in both

directions, the vessel was pervious. The lungs presented some slight

spots of congestion, but not of the same characteristic kind observed

in Experiment VI. The other organs were healthy.

On the origin of inflammation of the veins and of the causes, consequences, and treatment of purulent deposits · 第 18 / 34 题