Haemorrhage took place repeatedly from tranches of arteries opened as the slough separated. By maintaining an opening below the chin, and washing the wound from the mouth, the greater part of the abundant secretion was removed; but yet, no small quantity found its way backwards into the throat, and was swallowed. His stomach became very irritable, his strength failed, and a low muttering delirium preceded death. A putrid abscess occupied the summit of one lung, and pus was infiltrated among the tissues covering the trachea, In fractures of the bones of the face from gun-shot, v< make an exception to the general rule of removing fragments which are nearly detached. The large supply of blood which is sent to every structure in this region, enables pieces of bone to resume their full connection with the other tissues, when detached, in a way that would be fatal to similarly placed portions in other parts.
Hence the rule, not to extract any spiculse whose attachment has not been completely destroyed, and whose rtion is not opposed to a proper union of the broken parts. The exfoliation which follows in injuries of the bones of the luce, is slight as compared with those ot other parts. The destruction, or injury, of one or other of the or.trinity whic!i utions which at ti chief ulterior e which t!: In which t: jaw is be powerful acting >f its muscles, which the imperfect m<>. ' -ion a considerable amou inity. It is a sufficiently old. though not ah maxim, to extract ly the mouth, whenever vable. nil hails lodged in the face. us manner in which halls may Inconcealed in the bones of the face, and l>e discharged of their own id. was shown in one instance in the Second Divir the battle of the Alma.
A round ball had to, but below the inner canthus of the >t was not further thought of. The wound healed, and the patient had almost forgotten the cireiime. when, after suffering slightly from a feclii; iess in one nostril, the ball fell from his nose, to his nu and astonishment, B.onths ait.t singular that so little trouble should i in this case, as it not uncomm a most fetid suppuration injury of bone in the region where this ball It the neck that tlie extraordin;iich the e.-ipr a ball's vident. Thus the neck has been mjiii r, 128 ti;itlis have resulted from these wound? number die Held from these injuries. It would be useless, but sufficiently easy, to record cases in which balls, and even bayonets, have traversed the neck, and yet did not injmv the great vessels; sometimes passing from side to side, sometimes from before backwards, it would appear almost impossible that the blood-vessels could have escaped the wounding agent, and yet no indication of any mischief followed.
The great nerves suffer not uncommonly in gun-shot wounds of the neck, when such wounds are situated low down. Paralysis of the arm, setting in, either immediately after the infliction of the injury, or a few days later, affords evidence of such a lesion. The soft coverings of the chest were wounded after April 1st, 1855, by gun-shot, more or less severely, times, with deaths resulting. In cases, the bony, cartilaginous, or intercostal tissues were wounded, and one of these died. Lesion of the contents took place 16 times, although the ball did not penetrate, and 9 deaths resulted from that cause. The ball penetrated, and lodged, or appeared to lodge times, and of these patients 31 perished, while in cases the contents of the thorax were wounded superficially, 3 times with a fatal result.