2366 VETERINARY SURGICAL THERAPEUTICS. 
tious, constitutional and toxic. Wewillonly consider them, as in Hunter’s 
“old division, as adhesive, suppurative and hemorrhagic. Itis these which . 
apply best to veterinary practice. 
Phlebitis and thrombosis being, in the very great majority of cases at 
“Yeast, the result of a microbian pullulation, of an infection whose ordinary 
-agents are the staphylococci; and again, adhesive, suppurative and = 
hemorrhagic forms of phlebitis being related to various degrees of viru- 
lence of the causal condition, the treatment of the inflammation of veins 
must specially consist in the use of antiseptics. 
Phiebitis following operations performed upon veins shall be avoided by 
“the observation of the rules of asepsy. One will not neglect that all 
-venesection, to be harmless, involves the disinfection of the region and of 
the instrument that opens the vessel. By the antisepsy of wounds con- 
taining exposed veins, situated or involved in the traumatic center, the. 
infectious inflammation must be guarded against. 
As soon as the diagnosis of adhesive phlebitis is justified, by the appear- 
cance of an indurated cord, surrounded by an cedematous swelling, the 
‘region must be immobilized and protected against all causes of irritation ; 
“not only thus limiting the venous phlegmasy but also guarding against the 
“breaking up of the clot and against embolies. (See Zraumatic Thrombus 
and Emboles). In most of traumatic phlebitis, there is, at the wounded 
-spot, a fistula which demands special care. The region will be clipped, and 
disinfected, the escape of the pus will be facilitated by enlarging the 
fistulous tract; and this will be irrigated several times a day with an anti- 
“septic solution (sublimate 1 p. 100, phenic or cresyled water 3 p. 100) ; and 
the wound will be covered with powder of iodoform or tannin, phenicated 
or iodoformed vaseline. Preparations of vaseline are preferable to lard 
ointment, which becomes rancid, irritates and makes the skin itchy. In 
phlebitis of the extremities, douches in spray, given several times a day, are. 
-advantageous. Later, when the acute phenomena have disappeared, — 
-blisters are useful as resolutives, as recommended by Renault, Bouley, Rey. 
When phlebitis is suppurative, so that the clot is infiltrated with pus, the 
‘inflamed vein is becoming fistulous, the swelling increases, abscesses are 
formed in various parts of its extent; more than in adhesive phlebitis, the 
-dlanger of portions of the clot becoming loose and purulent infection must 
be feared. There is escape of abundant pus, thin, of bad aspect, grayish 
or reddish and at times having a fetid odor. A probe introduced into 
the wound may penetrate far into the vein. It is proper to enlarge the 
fistula and make in the vein antiseptic injections (tincture of iodine, 
‘solution of sublimate, of phenic acid) with an india rubber tube adapted 
“to the end of the syringe or with the bent canula (Nocard). This treat- 
sment, simple of execution, is recommended at the beginning, when sup- 
. 
