Popis: |
Many cases have been reported in which a pulsating exophthalmos has been dealt with by ligature of the common carotid or successive ligation of both carotids, but as the mortality of this operation is high, it would seem that a method of gradual occlusion of the artery would be preferable. The following report is of a recent operation in which a clamp1 was used to accomplish this occlusion automatically. History and Examination. —A. H., white, a delivery man, aged 39, had no previous disease, except a dysentery while in service in the Philippines. Four years ago last May, during a fight, he was struck a severe blow in the left cheek. He was considerably indisposed after the fight and that night spat blood continuously. On the second day afterward a roaring in his head began which gradually grew worse. At night it was so intense that he could not sleep |