He was seen thirty minutes
later in an apparently lifeless condition, but efforts at
resuscitation were successfully made. The hemorrhage ceased
spontaneously, and at the time of report, the man presented the
symptoms of one who had had his carotid ligated (facial atrophy
on one side, no pulse, etc.). Baron Larrey mentions a case of
gunshot wound in which the carotid artery was open at its
division into internal and external branches, and says that the
wound was plugged by an artilleryman until ligation, and in this
primitive manner the patient was saved. Sale reports the case of
a girl of nineteen, who fell on a china bowl that she had
shattered, and wounded both the right common carotid artery and
internal jugular vein. There was profuse and continuous
hemorrhage for a time, and subsequently a false aneurysm
developed, which ruptured in about three months, giving rise to
enormous momentary hemorrhage; notwithstanding the severity of
the injury and the extent of the hemorrhage, complete recovery
ensued. Amos relates the instance of a woman named Mary Green
who, after complete division of all the vessels of the neck,
walked 23 yards and climbed over an ordinary bar-gate nearly four
feet high.
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