Facts and Cases in Obstetric Medicine: With Observations on Some of the Most Important Diseases Incidental to Females

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Longman, Rees, Orme, Brown, 1836 - 296 頁
 

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第 180 頁 - ... inflammation may occur as a consequence of pressure, and that a thinning or softening of the substance may be induced, and, under these circumstances, should the structure give way at all, it is likely that the weakened part will be the first to suffer. Denman, indeed, says that, independently of disease, the uterus may be worn through mechanically, in long and severe labours, by pressure and attrition between the head of the child and the projecting bones of a distorted pelvis, especially if...
第 130 頁 - In two instances with which I am familiar, the pressure of the prolapsed ovary, loaded with purulent fluid, produced in each case a fatal form of ileus. In one of these the tumour filled the rectum ; neither bougie nor injection could be conveyed beyond it, and such was its apparent solidity, that I did not for a moment contemplate puncturing. But the deception was fatal to the patient.
第 119 頁 - ... near the end of gestation ; the second during labour ; the prolapsus being promoted by the relaxation of the soft parts. The changes which the ovary undergoes when long detained in the septum, will depend upon the capacity and yielding state of the parts.
第 145 頁 - ... appear, that turning the child, and delivering by the feet, is safer practice, as is proved by Baudelocque's case, and likewise by one somewhat similar, attended by Doeverent, in both of which the mothers and children perished. Upon the whole, therefore, I am disposed to believe, that where the tumor in the vagina occupies a large space, it would be a more warrantable prac,tice, to remove it by excision, if it consisted of a * * , ...-.' solid substance*, and certainly to puncture it, if it contained...
第 139 頁 - ... appearance, or seems to consist of a congeries of smaller tumours, of different densities, each having a thin capsule of cellular membrane. When large, the tumour is often unequal, tabulated, or divided by deep fissures, and arteries and veins of considerable magnitude can be traced into its substance. Cavities containing a bloody or dark-coloured gelatinous fluid are sometimes formed in the central parts of the tumour, by a process of softening which its substance undergoes.
第 17 頁 - Ingleby has seen several cases of puerperal convulsions which were succeeded by puerperal mania, and he thinks the transition might probably be the result of the large bleedings which were necessary to subdue the primary disease.
第 84 頁 - On making a section of the tumour, it was found to consist of a number of concentric laminae, with a calcareous deposit in the centre.
第 89 頁 - Remember, however, that it is far from being the sole or principal one by which you are to judge, — -first, because, when the neck of the uterus is very flexible, as sometimes, you may have a retroversion of the body only, the uterus doubling backwards upon its own cervix, and the os uteri remaining nearly in its former situation.
第 9 頁 - Allowing, therefore, for complications and variations of constitutions, the more important convulsions of the puerperal state may be referred to two principal and opposite conditions of the system ; either an excited or turgid state of the vessels of the brain (often promoted by improper diet, and a neglected state of the bowels during gestation) ; or by loss of blood, as after a dangerous haemorrhage. There is also a third state, subordinate to those just mentioned, and which seems more immediately...
第 37 頁 - ... brain. Previous to delivery being attempted, sufficient relaxation of the uterus must therefore be obtained by bleeding or emetic medicines in nauseating doses, purgative enemata, and perhaps the application of belladonna to its orifice, otherwise we incur the risk either of an apoplectic seizure, or a laceration of the uterus or vagina. This precaution has less regard to the degree of dilatation of the os uteri, (for the orifice is not unfrequently more or less open for many days before labour,)...

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