404 
EXTRACTS FROM GERMAN PERIODICALS. 
^ I 
upon the right side, and continuous through the poster: 
nares forward to the exterior. 
Nowhere could a degenerated or ruptured vessel be c; 
covered ; all the evidence pointed to an extravasation or t<s 
parenchymatous hemorrhage. 
J. is of the opinion that several hemorrhages had occur: 
in the tissues of this locality, one of which had formed t< 
suppurative collection at first mentioned, the others becomi: 
organized masses, which included the adjacent bones in t( 
inflammatory process. These numerous collections would vejj 
naturally produce narrowing in the caliber of the pharyi: 
causing difficulty in deglution and in respiration .—Dents a 
Z tschr. f. Thiermed. Bd. xii. H. 4, 5. 
INTRAVENOUS TRANSFUSION OF ZIEMSEN. 
This method of subcutaneous injection of blood, whn 
several years ago attracted much attention, and which hi 
been greatly esteemed, has been much improved. The d 
method consists of removing the blood directly from U 
vein by means of a canula needle attached to the same s ir < 
inge which is used to introduce the blood into the conni 
tive tissue beneath the mucosa. During the propelling of tis 
blood into the latter tissue, the region is kneaded or exercisi 
by means of the fingers for a quarter hour, thereby dispe- 
ing the fluid and avoiding the formation of thrombi. By tls 
means large quantities of blood may be incorporated wi 
the cellular tissue, without the appearance of the smallest <N 
agulum. 
Though this manner of blood transfusion is made valuatjj 
because it is so technically simple, so effective and so umi< 
companied by danger, yet Ziemsen’s opinion is that it w ! l 
not entirely supplant the intravenous injection. Its effeds 
are, moreover, not felt so instantaneously as the latter, aA 
from the pressure applied in diffusing the blood, it must nel 
be that cells are destroyed in the process. 
Ziemsen, however, has ingeniously united the prominet 
qualities of each method, and excluded those objectionab 
