登陆注册
4281000000345

第345章

Four weeks afterward they were as firm as ever. By their experiments Gluck and Magnus prove that there is a return of activity after transplantation of muscle. After excision of malignant tumors of muscles, Helferich of Munich, and Lange of New York, have filled the gap left by the excision of the muscle affected by the tumor with transplanted muscles from dogs. Gluck has induced reproduction of lost tendons by grafting them with cat-gut, and according to Ashhurst, Peyrot has filled the gaps in retracted tendons by transplanting tendons, taken in one case from a dog, and in another from a cat.

Nerve-grafting, as a supplementary operation to neurectomy, has been practiced, and Gersung has transplanted the nerves of lower animals to the nerve stumps of man.

Bone-grafting is quite frequently practiced, portions from a recently amputated limb, or portions removed from living animals, or bone-chips, may be used. Senn proposed decalcified bone-plates to be used to fill in the gaps. Shifting of the bone has been done, e.g., by dividing a strip of the hard palate covered with its soft parts, parallel to the fissure in cleft palate, but leaving unsevered the bony attachments in front, and partially fracturing the pedicle, drawing the bony flaps together with sutures; or, when forming a new nose, by turning down with the skin and periosteum the outer table of the frontal bone, split off with a chisel, after cutting around the part to be removed.

Trueheart reports a case of partial excision of the clavicle, successfully followed by the grafting of periosteal and osseous material taken from a dog. Robson and Hayes of Rochester, N.Y., have successfully supplemented excision of spina bifida by the transplantation of a strip of periosteum from a rabbit. Poncet hastened a cure in a case of necrosis with partial destruction of the periosteum by inserting grafts taken from the bones of a dead infant and from a kid. Ricketts speaks of bone-grafting and the use of ivory, and remarks that Poncet of Lyons restored a tibia in nine months by grafting to the superior articular surface.

Recently amalgam fillings have been used in bone-cavities to supplant grafting.

In destructive injuries of the skin, various materials were formerly used in grafting, none of which, however, have produced the same good effect as the use of skin by the Thiersch Method, which will be described laterRodgers, U.S.N., reports the case of a white man of thirty-eight who suffered from gangrene of the skin of the buttocks caused by sitting in a pan of caustic potash. When seen the man was intoxicated, and there was a gangrenous patch four by six inches on his buttocks. Rodgers used grafts from the under wing of a young fowl, as suggested by Redard, with good result. Vanmeter of Colorado describes a boy of fourteen with a severe extensive burn; a portion beneath the chin and lower jaw, and the right arm from the elbow to the fingers, formed a granulating surface which would not heal, and grafting was resorted to. The neck-grafts were supplied by the skin of the father and brother, but the arm-grafts were taken from two young puppies of the Mexican hairless breed, whose soft, white, hairless skin seemed to offer itself for the purpose with good prospect of a successful result.

The outcome was all that could be desired. The puppy-grafts took faster and proved themselves to be superior to the skin-grafts.

There is a case reported in which the skin of a greyhound seven days old, taken from the abdominal wall and even from the tail, was used with most satisfactory results in grafting an extensive ulcer following a burn on the left leg of a boy of ten. Masterman has grafted with the inner membrane of a hen's egg, and a Mexican surgeon, Altramirano, used the gills of a cock.

Fowler of Brooklyn has grafted with the skin from the back and abdomen of a large frog. The patient was a colored boy of sixteen, who was extensively burned by a kerosene lamp. The burns were on the legs, thighs, buttocks, and right ankle, and the estimated area of burnt surface was 247.95 square inches. The frog skin was transferred to the left buttocks, and on the right buttocks eight long strips of white skin were transferred after the manner of Thiersch. A strip of human skin was placed in one section over the frog skin, but became necrotic in four days, not being attached to the granulating surface. The man was discharged cured in six months. The frog skin was soft, pliable, and of a reddish hue, while the human white skin was firm and rapidly becoming pigmented. Leale cites the successful use of common warts in a case of grafting on a man of twenty who was burned on the foot by a stream of molten metal. Leale remarks that as common warts of the skin are collections of vascular papillae, admitting of separation without injury to their exceptionally thick layer of epidermis, they are probably better for the purposes of skin-grafting than ordinary skin of less vitality or vascularity. Ricketts has succeeded in grafting the skin of a frog to that of a tortoise, and also grafting frog skin to human skin. Ricketts remarks that the prepuce of a boy is remarkably good material for grafting. Sponge-grafts are often used to hasten cicatrization of integumental wounds. There is recorded an instance in which the breast of a crow and the back of a rat were grafted together and grew fast. The crow dragged the rat along, and the two did not seem to care to part company.

Relative to skin-grafting proper, Bartens succeeded in grafting the skin of a dead man of seventy on a boy of fourteen. Symonds reports cases of skin-grafting of large flaps from amputated limbs, and says this method is particularly available in large hospitals where they have amputations and grafts on the same day.

同类推荐
  • Beatrix

    Beatrix

    本书为公版书,为不受著作权法限制的作家、艺术家及其它人士发布的作品,供广大读者阅读交流。汇聚授权电子版权。
  • Gulliver of Mars

    Gulliver of Mars

    本书为公版书,为不受著作权法限制的作家、艺术家及其它人士发布的作品,供广大读者阅读交流。汇聚授权电子版权。
  • The Lost Princess of Oz

    The Lost Princess of Oz

    本书为公版书,为不受著作权法限制的作家、艺术家及其它人士发布的作品,供广大读者阅读交流。汇聚授权电子版权。
  • The Miracle Mongers

    The Miracle Mongers

    本书为公版书,为不受著作权法限制的作家、艺术家及其它人士发布的作品,供广大读者阅读交流。汇聚授权电子版权。
  • Sister Carrie

    Sister Carrie

    本书为公版书,为不受著作权法限制的作家、艺术家及其它人士发布的作品,供广大读者阅读交流。汇聚授权电子版权。
热门推荐
  • 穿越霸王花(4):凤冠传奇

    穿越霸王花(4):凤冠传奇

    恶毒的诅咒把她送回了古代——自私而野蛮的皇帝,砸碎了她瑰丽的初恋;追随而至的两世仇人,为她精心设下一个又一个的死亡陷阱;而那个莫名出现的男人,又和她究竟有着怎样的宿命姻缘?面对这步步惊魂的命运轮回之旅,她不肯屈服,誓要战胜诅咒,成为主宰自己命运的主人,于是,她反出皇宫,独闯敌巢,统率大军,抵抗外敌。她一次次战胜了磨难,却一次次错过了命定的情缘,而当他们终于拥抱在一起的时候,诅咒再度降临。
  • 名人名言金典3

    名人名言金典3

    名人名言透过历史的风尘,超越国界的阻隔,俨然已经成为全人类的宝贵遗产,对我国当代青年陶冶品性、提高修养、掌握良好的方法、学习名人的奋斗精神等,有着极大的价值和实用性。本书收录了世界着名的思想家、科学家、文学家、艺术家、教育家、政治家、军事家、企业家等各方面卓有成效者的名言5000多条,涉及的古今名人有苏格拉底、尼采、黑格尔、歌德、培根、爱因斯坦、莎士比亚、托尔斯泰、爱迪生、拿破仑、席勒、蒙哥马利等千余人,涉及到的名言包括人生奋斗、志向追求、友谊爱情、伦理道德、婚姻家庭等诸多方面,这些名言对青少年朋友具有极大的启迪性和教育作用。
  • 请记得我一直都在

    请记得我一直都在

    即使有一天,你转身离去了。我希望,你会记得。有个女孩一直在原地等着你。
  • 玉台新案

    玉台新案

    本书为公版书,为不受著作权法限制的作家、艺术家及其它人士发布的作品,供广大读者阅读交流。汇聚授权电子版权。
  • 先生,追妻请排队

    先生,追妻请排队

    “顾濯,你放过我吧。”慕夏看着步步紧逼的顾少,语带惶恐。“放过你,做梦!”顾濯冷笑。“你生是我顾濯的人,死也是我顾濯家的鬼!”“顾濯,你这样很过分,你知道吗?”慕夏狠狠的瞪了顾濯一眼。“过分?”顾濯黑眸一闪,龇牙道,“你个小白眼狼,爷屈尊为你服务,你竟然还敢嫌弃。”“啊!”慕夏大喊,一个挺身,终于完成了今日200个的仰卧起坐,摆脱了顾濯的禁锢。“好了,今天的运动份额已经完成了,可以了吧!“恩,不过,晚上的还没开始。”顾濯浅笑。总之,这就是顾大少和她小娇妻秀恩爱的故事。
  • 猫武士成长励志馆2:向阳而生

    猫武士成长励志馆2:向阳而生

    由于工作的变动,唐歌不得不转学到七中。面对新学校中经常出现的特殊身影,她感到非常恐惧。美丽的米米老师带着她一点一点走进这些学生的内心,化解他心中的偏见与不安。就在这时,一场从他出生之前就埋下的灾难骤然降临。命运之手将她所有的幸福推翻,肆虐着她整个生命,当她带着迷茫和困惑去向米米老师询问答案时,才发现这个答案早已种在了自己的心底.......
  • 剩男结婚记

    剩男结婚记

    【两岸文学PK大赛】三个八零后剩男,一个为了攒结婚的钱当了别人的‘租赁男友’,却从此后麻烦不断;一个想结婚却被爱女心切的准老丈母娘开出的天价条件‘望婚兴叹’;另一个,草草结了婚,却……,结婚难道真就这么难吗?
  • 猝死

    猝死

    年轻的女士、美国旧金山市A&S大酒店的总经理苏伊人,现在躺在中国中部地区的一家医院里。裸露着下身,任医生护士不耐烦地斥责着灵魂。隔壁手术室里不时传出的撕心裂肺的喊叫颤悸着心房。大号扩张器无情地硬性扩开从未生育过的阴道,她不懂得去对医生讲,也没人可去求教,甚至觉得自己连像隔壁做同样手术的妇女那样喊叫的理由都没有,她只能紧紧将手巾咬住,任泪水滚滚,任疼痛像钝刀拉肉那样切割着自己的每一寸神经。剪刀进去了,剪断胎儿和母体的那一脉相连的脐带。吸引器开动了,血和肉,被一点一点从体内吸出。
  • 养蒙金鉴

    养蒙金鉴

    本书为公版书,为不受著作权法限制的作家、艺术家及其它人士发布的作品,供广大读者阅读交流。汇聚授权电子版权。
  • 无限见稽古

    无限见稽古

    见稽古,能够看穿森罗万象的究极之眼。无论是什么东西,是书面的文字,武器的使用,还是各种奇异的武术、甚至是体质,像是其他种族的遗传能力,只要是世界上所有的东西,只要亲眼看过一遍,便可完全了然于心并且熟练使用。是一种近似怪物般的技术。某一天,这双眼睛的主人收到了一封来自主神空间的邀请函。世界线:从零开始的异世界生活-落第骑士英雄谭-弑神者-恶魔高校DXD-问题儿童都来自异世界书友群:796242765