The
treatment was expectant; and in less than three weeks the soldier
was returned to duty. From the same authority there is a
condensation of five reports of gunshot wounds of the neck, from
all of which the patients recovered and returned to duty.
Braman describes the case of a man on whom several injuries were
inflicted by a drunken companion. The first wound was slight; the
second a deep flesh-wound over the trapezius muscle; the third
extended from the right sterno-cleido-mastoid midway upward to
the middle of the jaw and down to the rapine of the trachea. The
external jugular, the external thyroid, and the facial arteries
were severed. Braman did not find it necessary to ligate, but was
able to check the hemorrhage with lint and persulphate of iron,
in powder, with pressure. After fourteen hours the wound was
closed; the patient recovered, and was returned to duty in a
short time.
Thomas has reported the case of a man sixty-five years old who in
an attempt at suicide with a penknife, had made a deep wound in
the left side of the neck. The sternohyoid and omohyoid muscles
were divided; the internal jugular vein was cut through, and its
cut ends were collapsed and 3/4 inch apart; the common carotid
artery was cut into, but not divided; the thyroid cartilage was
notched, and the external and anterior jugular veins were
severed.
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