Gunshot injuries: their history, characteristic features, complications, and general treatment : with statistics concerning them as they have been met in warfare / by Sir T. Longmore.

Longmore, T. (Thomas), Sir, 1816-1895.

Date:: 1895

Credit: Gunshot injuries: their history, characteristic features, complications, and general treatment : with statistics concerning them as they have been met in warfare / by Sir T. Longmore. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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$CHAPTER IV HOSPITAL GANGRENE AFTER GUNSHOT WOUNDS PAGE General remarks .... 285 Hospital gangrene and special micro-organisms . . . 285 Former types in military hospitals 286 In British hospitals during Cri- mean war 287 On board transports and elsewhere 288 In the French Crimean hospitals 288 In India during Sepoy Mutiny war 289 Hennen's description of this dis- ease 290 Early symptoms .... 291 Guthrie's account of it . . 292 Description of milder forms Varieties of hospital gangrene Distinctive signs of hospital and simple gangrene Various origins attributed to hos pital gangrene Indications of a local origin Arguments for a specific conta gious origin Blackadder's views Its occurrence in U. S. civil war Causes to which attributed . Development of hospital gangrene Influence of climate and locality PAGE 293 293 294 294 294 295 296 296 296 297 297 CHAPTER V PYEMIA AFTER GUNSHOT WOUNDS General remarks 298 Re-separation of united gunshot Not recognised in Peninsular fractures 302 campaigns .... 299 Modes of death in pyaemia . 304 Remote abscesses after wounds . 299 Nature of the disease . ... 304 Influence of pyogenic microbes . 299 Its association with wounds of Views of former army surgeons . 299 bones ..... 305 Pysemia in recent army returns . 300 Reasons for its prevalence in mili- Mortality from it during the siege tary hospitals .... 306 of Paris 300 Individual susceptibility 306 Wounds specially liable to it 301 Conclusions regarding it in mili- Its symptoms .... 301 tary practice .... 307 CHAPTER VI TETANUS AFTER GUNSHOT WOUNDS General remarks . Tetanic spasms Its various forms . Tetanus more frequent in former wars .... Statistics regarding it In the Crimean war Tetanus in Italian war of 1859 In the United States civil war In the Indian Mutiny war . No case in the New Zealand war Tetanus in two adjoining regi- ments in the Crimea Cases in the 19th Regiment All states of gunshot wounds liable to it . . 308 After gunshot wounds of nerves . 314 309 ! Lodged pieces of cloth an ex- 309 citing cause .... 314 ! Nerve lesions and tetanus . . 315 309 Proportion in which it occurs in 309 the tropics . . . .315 310 I Sudden alterations of temperature 316 311 I Local disturbance of wounds . 317 311 I Prof essor Maclean's experience in 312 i China . • . . . .317 312 J Specific micro - organisms as a cause. . . . . .317 312 Resume of causes in army hos- 312 pitals 318 Course followed by it after gun- 314 shot wounds .... 319$