The Science and Art of Surgery: Being a Treatise on Surgical Injuries, Diseases, and Operations

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Walton and Maberly, 1853 - 951 頁
 

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第 735 頁 - Each particular kind of hernia (femoral, crural, &c.) requires its special form of truss ; and before applying it, the hernia must be reduced by placing the patient on his back, relaxing the muscles by bending the thigh upon the abdomen, and pressing the tumour back in the proper direction. The truss should then be put on, and should be worn during the whole of the day...
第 289 頁 - Should symptoms of secondary asphyxia, such as stupor, laborious respiration, dilatation of the pupils, and convulsions, manifest themselves, arlifieial respiration should be immediately set up, and be maintained until the action of the heart has been fully restored. In these cases I should, from the very great efficacy of electricity, in the somewhat similar condition resulting from the administration of the narcotic poisons, be disposed to recommend slight shocks to be passed through the base of...
第 484 頁 - Hunter, he proposed, in performing this operation, that the artery should be taken up at some distance from the diseased part, so as to diminish the risk of haemorrhage, and admit of the artery being more readily secured, should any such accident happen. The force of the circulation being thus taken off from the aneurismal sac, the cause of the disease would, in Mr. Hunter's opinion, be removed; and he thought it...
第 341 頁 - ... necrosed. The larger bloodvessels resist the progress of the disease longer than any other parts, but may at last be exposed, pulsating at the bottom of the deep and foul chasm. There is little risk of hemorrhage taking place, however, in the early stages...
第 413 頁 - ... followed by constitutional symptoms, and on the character that these assume under one or other of these methods, than on the mere skinning over of the ulcer. I cannot agree with the statement that secondary symptoms are less frequent after the simple than after the mercurial treatment of syphilis. I have seen the non-mercurial plan of treatment very extensively employed at the University College Hospital ; indeed it was formerly almost invariably practised there, more particularly in the syphilitic...
第 677 頁 - Doubts are now entertained by many authors of the accuracy of this description, and Mr. Erichsen questions how so small a duct can be dilated to so large a size as is occasionally attained by these tumours. This doubt, however, disappears when one reflects upon the enormous size which the minute ducts of the mammary gland may attain in sero-cystic sarcoma.
第 484 頁 - ... accident happen. The force of the circulation being thus taken off from the aneurismal sac, the progress of the disease would be stopped ; and he thought it probable, that if the parts were left to themselves, the sac, with its contents, might be absorbed, and the whole of the tumour removed, which would render any opening into the sac unnecessary.
第 391 頁 - ... operation ; and that I have the satisfaction of knowing several persons on whom I have performed the operation under these circumstances, who are now alive and well, and who otherwise would certainly have been dead long ago. So long since as 1832, I removed a breast affected with a scirrhous tumor, and the lady is still in good health, — at least she was so last year. Since the operation she has married and had children. Last year I was called to see a lady on account of another complaint,...
第 399 頁 - ... temperament the digestive organs will be found to be weak and irritable. This may be regarded as one of the most essential conditions connected with scrofula, and as tending greatly to the impairment of nutrition, which is so frequent in this affection. The action of the heart is feeble, the blood is thin and watery, and there is a tendency to coldness and often to clamminess of the extremities. The most marked characteristic of struma, however, is the peculiar modification which inflammation...
第 398 頁 - In these individuals the affections are strong, and the procreative power considerable ; the mental activity is also great, and is usually characterized by much delicacy and softness of feeling, and vivacity of intellect. Indeed, it would appear in such persons as these, that the nutritive, procreative, and mental powers are rapidly and energetically developed in early life, but become proportionately early exhausted.

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