Band 
Vol. III.
Seite
62
JPEG-Download
 

( bi )

practisod, becausc that Cnip which appears on the Cutt-ng a Throar, (ehedividcd partsbeing thenaftswn to thcir other more fixt Ends;) together withthe great Flux of Blood, when the Jugulars and Carotid Arteries are alsowounded, create in moti Men a dread of this butcherly Operation ; andmake thole, cspecially who are unacquaintcd wich Anatomy, lülpcct allWounds of the Trachea, as Mortal, and opposo Laryngotomy under ali themoli urgent Circumstances.

But to wipe off this prejudice, it may be affirmd that Laryngotomy is al-lowable and ought to be put in praefice in violent Squinztes, and otherDangers ot Suftocation from Caulis of a like Nature with them. For thatl«L. the Wound is Curable (nocwithstanding the Authority ofrlie Encyclopadia

Chirurgica to the con ra^y) will appear by the following Relation (ent byMr. j. Keen of Roch 'mCornwail, the Chirurgeon who perfbrm'd the Cure.

Ntcholas Hobb , of Sr. Enodor in Cornwall , Agcd 6 3 or theieabout, wassometime in March. 1696. at a distance from any Houle, let on by Ruffians»who firft by a blow on the Occiput knockt him to the Ground; then tran-lected the Trachea lömewhat beneath the Pomum Adami, together with le-verat ot the Adjacent Mulcles, and some large Blood Veflels j from which hclost a very great Quantity of Blood, leen aseerwards lying on the Ground.The Ruffians having robbd him, and thinking himeirher dead, or pali aliRecovery, lese him Aster some time the Wounded Man recovers so muchSenie andStrength as to thurst his Neck-cloth into the large and gapingWound, and by Degrees to crawl horne to his own House. When I had exa-mined the Wound, and considering the great Flux of Blood, I was muchlurprized that the Patient was alive. Lipotbymies came frequently uponhim, dpecially upon every little Motion of hi» Body: Tbele were affersome time fucceeded by Convulfiom. The parts of the Trachea were ata vast distance from cach other, the lower part being every rurn of Inspi-ration sonk deep into the Neck, as low a$ the Clmuula, and juti ap-peard upon every Expiration.

There seernd to be no mannet of Hopes of his Recovery: however inorder to attempt it, I directed a lusty strong Fellow to hold the Leggs ofthe Patient over hi» Shouldcrs, and by this means raiso them, together withthe Abdomen, above the Tborsx, Collum , &c. in which Posture the dividcdparts came so near to each other, that with strong waxed Thread I lewdtogether several of them: but as to the Divifions of the Trachea, I socuredthem together by paffmg large Ncedles deep into the Flesti on cach side,and Twisting strong waxed Thread about them as in Labio Fijso. Overali, for greater lecurity, I applyed a Restrictive (ex Puh>. reßring. Clowes)covenng the greatest part ot ehe Neck with a Defeniatjve ex Beto cum Al-bumine Ovor. advifing the Parient to lye as Quietas hecould. The Pa-tient now begins ngain toipeak, and as well as the Cough, difficulty ofBreath, and his Weaknels would allow, scftly and with a low Voice givesan Account of the Occasion as above.

An Arteriae was then made up for him (to sinooth the Trachea , and pro-mote Expectoration) i Tuch. Veäoral. Batean. (in Aq. Stephan. Solut.)

jiü >

- \