ed to
the sixth day.
Hislop records a case of cut-throat in a man of seventy-four. He had a
huge gaping wound of the neck, extending to within a half inch of the
carotids on each side. The trachea was almost completely severed, the
band left was not more than 1/4 inch wide. Hislop tied four arteries,
brought the ends of the trachea together with four strong silk sutures,
and, as the operation was in the country, he washed the big cavity of
the wound out with cold spring-water. He brought the superficial
surfaces together with ten interrupted sutures, and, notwithstanding
the patient's age, the man speedily recovered. This emphasizes the fact
that the old theory of leaving wounds of this nature open was
erroneous. Solly reports the case of a tailor of twenty-two who
attempted suicide by cutting through the larynx, entirely severing the
epiglottis and three-fourths of the pharynx. No bleeding point was
found, and recovery ensued.
Cowles describes the case of a soldier of thirty-five who, while
escaping from the patrols, was shot by the Officer of the Day with a
small bullet from a pistol. The ball entered the right shoulder,
immediately over the suprascapular notch, passed superficially upward
and forward into the neck, wounding the esophagus posteriorly at a
point opposite the thyroid cartilage, and lodged in the left side of
the neck. The patient had little hemorrhage, but had expectorated and
swallowed much blood. He had a constant desire to swallow, which
continued several days. The treatment was expectant; and in less than
three weeks the soldier was returned to duty. From the same authority
there is a condensation of five reports of gunshot wounds of the neck,
from all of which the patients recovered and returned to duty.
Braman describes the case of a man on whom several injuries were
inflicted by a drunken companion. The first wound was slight; the
second a deep flesh-wound over the trapezius muscle; the third extended
from the right sterno-cleido-mastoid midway upward to the middle of the
jaw and down to the rapine of the trachea. The external jugular, the
external thyroid, and the facial arteries were severed. Braman did not
find it necessary to ligate, but was able to check the hemorrhage with
lint and persulphate of iron, in powder, with pressure. After fourteen
hours the wound was closed; the patient recovered, and was returned to
duty in a short time.
Thomas has reported the case of a man sixty-five
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