The Essentials of Pathology

Cover The Essentials of Pathology
The Essentials of Pathology
Gilliam, David Tod, 1844-1923
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Retardation of the Blood-flow, This is incomparably the most potent factor of thrombosis, and may arise {a) From external pressure on the vessel ; as from ligatures, morbid growths, eff*usions, and displacement of parts.
(J)) From an obstruction in the vessel ; as an embolus, a morbid growth projecting into the lumen, a roughened internal surface.
(r) From dilatation ; as in dilated heart, aneurism, varicose enlargement of the veins ; and lastly, (//) From weak heari action; as in the case of c
...ardiac degeneration, valvular obstruction, or insufficiency, etc.
The heart becomes weak and the vis a tergo diminished in many of the exhaustive diseases, notably in tuber- culosis, and typhoid fever, in which, also, it is not uncommon for thrombotic formations to occur. Rup- ture, or division of a blood vessel, by allowing the escape and interfering with the onward flow of the blood, may conduce to thrombosis.
2. Changes in the Vessel Walls. It was formerly supposed that all thrombi were due to an inflammatory change in the vessel walls.


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