Clamp-forceps were immediately applied to the cut
vessels and one on each side the aperture in the common carotid
from which a small spurt of blood, certainly not half a
teaspoonful, came out. The left median basilic vein was exposed
by an incision, and 20 ounces of warm saline solution were slowly
perfused, an ordinary glass syringe with a capacity of five
ounces, with an India-rubber tubing attached to a canula in the
vein being employed. After seven ounces of fluid had been
injected, the man made a short, distinct inspiration; at ten
ounces a deeper one (the radial pulse could now be felt beating
feebly); at 15 ounces the breathing became regular and deep; at
18 ounces the man opened his eyes, but did not appear to be
conscious. The clamped vessels were now tied with catgut and the
wound cleansed with phenol lotion and dressed with cyanid-gauze.
The man was surrounded by hot-water bottles and the foot of the
bed elevated 18 inches. In the course of an hour the patient had
recovered sufficiently to answer in a squeaky voice to his name
when called loudly. Improvement proceeded rapidly until the
twenty-second day, when violent hemorrhage occurred, preceded a
few hours previously by a small trickle, easily controlled by
pressure.
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