《on the surgery》

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on the surgery- 第3部分


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in greatest quantity to the upper part; and in smallest to the

inferior; neither the arm nor the leg should be placed in a

declining position: the head of the bandage should be placed on the

wound; and there the greatest pressure should be made; the least at

the extremities; and intermediately in the middle; the last fold of

the bandage should be at the upper part of the body。 As to binding and

compression; these objects are to be attained rather by the number

of the bandages than the force of the constriction; and moreover; in

these cases the bandages should be thin; light; soft; clean; broad;

sound; so that they may effect their purpose; even without splints。

And we must use affusions。

  23。 Dislocations; sprains; diastases of bones; violent separation;

abruption of the extremities of bones; and distrainings; so as to

induce varus or valgus; in these cases we must apply the bandages so

as not to compress the part whence the displacement took place; and

that we may render them tight at the side to which the displacement

was; and give the limb an inclination in the opposite direction; and

that in an excessive degree。 We employ bandages; compresses;

suspension of the limb in a sling; attitude; extension; friction;

rectification; and along with these the affusion of much water。

  24。 In treating parts which are atrophied; we must comprehend a

considerable part of the sound limb with the bandage; so that by the

influx thereby produced; the wasted part may acquire a supply

greater than its loss; and may be thus disposed to growth and

restoration of its fleshy parts。 It is better also to bandage the

parts above; as the thigh in the case of the leg; and also the thigh

and leg of the opposite side; so that they may be placed in similar

circumstances; and may both equally be deprived of motion; and that

the supply of nourishment may be alike curtailed and open to both。 The

compression should be the effect rather of the number of the

bandages than of their tightness。 We relax first the part most

requiring it; and have recourse to that kind of friction which will

promote the growth of flesh; and to affusion。 No splints。

  25。 Those things which are for the purpose of giving support and

strength to the part; as to the breast; side; head; and so forth;

are used in such cases as the following: for pulsations; that there

may be no motion in the part; and in separation at the sutures of

the skull; in order to give support; and in order to strengthen the

chest and head; in coughs; sneezings; and other movements。 In all

these cases the same measure of bandaging is to be observed; for where

the injury is; there the bandage should compress most; and something

soft is to be placed below that suits with the complaint; and we

must not apply the bandages tighter than just to stop the pulsations

from creating disturbance; and that the separated parts at the sutures

may be brought into contact; they must not be such as absolutely to

stop the coughs and sneezings; but so as to give support; and; without

occasioning uneasiness; prevent the parts from being shaken。





                          …THE END…



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