PHLKBITIS OF THE JUGULAR VEIN. 34I 



Treatment. — Attempts were made to check the extension of gangrene 

 on the left side of the neck by applying about thirty deep punctures with 

 the firing iron, into which was injected 30 per cent, tincture of iodine 

 containing iodide of potassium. The parts were sprayed with carbolic 

 solution. Alcohol, carbolic acid, and bicarbonate of soda were given 

 internally. The evening temperature was 40*2^ C. 



April 30th. — The general condition had improved. The mucous 

 membranes were less injected ; the pulse and respiration less frequent. 

 The animal took a part of its food. The general symptoms were no 

 longer alarming. Separation of the dead parts had begun on the left 

 side. The eschar measured fourteen inches in length and varied 

 between four and seven inches in breadth. The parts were sprayed 

 with carbolic solution three times daily and covered with a thick com- 

 press saturated in one per thousand solution of sublimate. 



May 3rd. — Improvement was progressive. Appetite had returned, 

 and each day delimitation was more marked. 



May 6th. — The eschar not yet being completely delimited, the 

 grer.ter portion was excised. A mass weighing nearl\- six pounds was 

 removed. In front a gangrenous patch about four inches in length 

 remained. To prevent necrosis extending in the funicular portion of 

 the ligament cervical desmotomy (division of the cordiform portion of 

 the ligamentum nuchte) was performed. Antiseptic treatment was 

 continued. 



May gth. — The remaining necrotic patch was excised. It weighed 

 a little more than two pounds. 



May loth to 27th. — The wound became clean, and granulated 

 actively. The loss of tissue was gradually replaced. Up to the loth 

 June a sinuous tract remained, originating from a necrotic fragment of 

 the ligamentum nuchas. 



The animal left hospital on the 15th June. The wound was granu- 

 lating throughout, and recovery was certain. 



PHLEBITIS OF THE JUGULAR VEIN. 



46. Five-year-old entire horse, left in hospital on the 30th De- 

 cember, i8g6. 



The animal had been bled, and in consequence a large thrombus 

 had formed. 



From the site of the operation wound up to the parotid the jugular 

 furrow was sw^ollen, hot, oedematous, and painful. The wound was 

 sinuous, and a director could be passed into the vein. 



The sinus was laid open for a long distance in the axis of the 

 vessel ; its walls were curetted, disinfected with strong carbolic solu- 

 tion and tincture of iodine, and plugged with iodoform gauze. 



During the succeeding days the dressing was renewed daily, the 

 wound cleansed by spraying with carbolic solution, and dusted with 

 calomel. Suppuration was trifling, and healing regular. 



On the 8th January a little perivenous abscess, which had de- 

 veloped about an inch above the wound, was punctured. The cavity 

 was cleansed and treated with antiseptic injections. 



Cure was complete in a fortnight. 



