On the coagulation of the blood in the venous system during life : (a thesis for a medical act in the University of Cambridge) / by George Murray Humphry.

  • Humphry, George Murray, Sir, 1820-1896.
Date:
1859
Catalogue details

Licence: Public Domain Mark

Credit: On the coagulation of the blood in the venous system during life : (a thesis for a medical act in the University of Cambridge) / by George Murray Humphry. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    lished through the deep veins. It is worthy of remark that the same patient exhibited symptoms of similar disturbance in the popliteal and femoral veins after each of two subse- quent illnesses; viz. after an attack of typhoid fever in 1846 and of pleurisy on the left side in 1851.' On the latter occasion, the upper part of the posterior tibial vein and the lesser saphena in the left limb, were involved, as well as the popliteal and femoral. The symptoms were slighter and of shorter duration than in the first attack, and were not followed by any evidences of permanent obstruction to the circulation, or impairment of the limbs. The following cases occurred soon afterwards. Case II. A man, aged 30, not much emaciated, died of phthisis with bronchitis and much prostration. (Edema of the right leg and thigh, with mottled blue and white patches on the skin, like those resulting from ecchymosis, had ex- isted for some days ; but had not attracted much attention. The external and internal iliac veins, and part of the common iliac, as well as the femoral, profunda, and saphena major, were distended with coagula, of a dark colour, irregularly intermixed with lighter fibrinous portions, which gave them a mottled aspect. Near the junction of the saphena, the clot was of more uniform colour, presenting the appearance of reddish, soft, dirty lymph, or fibrine, and was adherent to the inner coat of the vein. The latter had lost its polish, was rather soft, and admitted of being peeled off from the outer tunics of the vessel. The cellular tissue immediately surrounding the vein was, especially near the saphena, infil- trated with serum and lymph. The clot terminated abruptly in a thick rounded end, about an inch below the junction of the left common iliac vein. Case III. A pale anemic girl, set. 19, was in the hos- pital on account of excessive debility, and was being dressed