A System of Surgery V.1

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Haemorrhage during the process of separation is prevented by throm- bosis, which subsequently leads to the permanent occlusion of the vessels.
In the early stages constitutional symptoms are slight, and, beyond the inconvenience attached to a part which is insensitive and function- less, the patient complams of little more than occasional shooting 2o6 GANGRENE pains, or numbness and tingling in the affected area. As the gangrene develops, pain and toxaemia become prominent symptoms, and lead to
... loss of sleep and gradual exhaustion, which may end in death.
Glycosuria is a frequent accompaniment of this form of gangrene, and is probably due to the absorption of toxic products from the dead and dying tissues. It must not be mistaken for the glycosuria of diabetes, for it is unaccompanied by the classical symptoms of that disease, and passes off when the dead part is removed.
Moist gangrene is the term employed to denote dead tissues which are infiltrated with blood and other fluids, and usually infected with saprophytic micro-organisms.


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