(Concluded from page 39.)
The effect of simple addition of fluid after loss of blood, as in cholera, etc., has, according to observations made thus far, been very considerable, and we must therefore notice this important fact. Hitherto transfusion has been used in by far the greater num ber of cases of severe haemorrhage which threatened life. It was assumed that death from hÆmorrhage was due to the loss of the carriers of oxygen, and on this account transfusion was done. But in place of this physiological reason for haemorrhagic death, Goltz has now brought forth the physical reason, "the emptying of the pump works" (das Leergehen des Pumpwerkes), in which he teaches that the heart can only set the blood vessels in motion by a certain degree of tension in the vascular system. Hence it is deficiency of fluid which causes death. Accordingly, Kronecker and Sancltr showed by experiments
von ZIEMSSEN H. LECTURE ON SUBCUTANEOUS BLOOD-INJECTIONS, SALT WATER INFUSION, AND INTRAVENOUS TRANSFUSION.. JAMA. 1887;IX(3):68–72. doi:10.1001/jama.1887.02400020004001a
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