War Surgery of the Abdomen

Cover War Surgery of the Abdomen
War Surgery of the Abdomen
Cuthbert Wallace
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A man having a pulse of 160 with a wound in the liver went to the Base without operation. A pulseless man recovered after his bladder and small intestine had been sutured. A mail with a pulse of 60 died from the effects of haemorrhage although the bleeding was stopped by operation. A man with a pulse of 90 died of gas gangrene in the abdominal wall. Another 54 War Surgery of the Abdomen with a pulse of 80 died of peritonitis on the third day. One case with a pulse of 160 recovered, the reason f...or the rapidity being an extraperitoneal haematoma of the bladder, which was drained.
Vomiting. Wounds of the stomach nearly always lead to vomiting, and very often to haematemesis ; but vomiting is also met with in all kinds of wounds other than abdominal ; and, beyond the fact that its absence shows that the stomach is most probably not involved, it has no special significance or indication.
Haemorrhage. This will be dealt with more fully later on (p. 130). It is sufficient to say here that, with the exception of blanching and a rapid pulse, both of which may be produced by other causes, the classical signs, such as restlessness, blindness, or air hunger, are usually absent.


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